52D2019862 CLIA NUMBER - CARDINAL FAMILY EYE CARE

Laboratory Demographics

  • CLIA Code: 52D2019862
  • Facility Name: CARDINAL FAMILY EYE CARE
  • Facility Address: 201 E HILL ST
    THORP, WI
    ZIP 54771
  • Facility Phone: 715 669-5631
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RYAN E. BELOUNGY
  • NPI Number: 1083808802
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 52D2019862
LAB Type Physician Office
Facility Name CARDINAL FAMILY EYE CARE
Street 201 E HILL ST
City THORP
State WI
ZIP 54771
Phone 715 669-5631
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2025
Certificate Expiration Date 2/7/2027
Facility Type Physician Office
Lab Director DR. RYAN E. BELOUNGY

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This page was last updated on: 6/4/2025