39D2055802 CLIA NUMBER - NITTANY EYE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 39D2055802
  • Facility Name: NITTANY EYE ASSOCIATES
  • Facility Address: 428 WINDMERE DR STE 100
    STATE COLLEGE, PA
    ZIP 16801
  • Facility Phone: 814 234-2015
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FRED H. CARLIN OD
  • NPI Number: 1619071131
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 39D2055802
LAB Type Physician Office
Facility Name NITTANY EYE ASSOCIATES
Street 428 WINDMERE DR STE 100
City STATE COLLEGE
State PA
ZIP 16801
Phone 814 234-2015
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2025
Certificate Expiration Date 3/17/2027
Facility Type Physician Office
Lab Director FRED H. CARLIN OD

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This page was last updated on: 9/29/2025