39D2116827 CLIA NUMBER - CENTAR & IMLER OD

Laboratory Demographics

  • CLIA Code: 39D2116827
  • Facility Name: CENTAR & IMLER OD
  • Facility Address: 108 OLDE FARM OFFICE ROAD
    DUNCANSVILLE, PA
    ZIP 16635
  • Facility Phone: 814 695-3141
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DR. GREGORY A. CALDWELL
  • NPI Number: 1679517957
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 39D2116827
LAB Type Practitioner Other
Facility Name CENTAR & IMLER OD
Street 108 OLDE FARM OFFICE ROAD
City DUNCANSVILLE
State PA
ZIP 16635
Phone 814 695-3141
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2024
Certificate Expiration Date 8/1/2026
Facility Type Practitioner Other
Lab Director DR. GREGORY A. CALDWELL

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