52D2062793 CLIA NUMBER - CHIPPEWA VALLEY EYE CLINIC, LLC

Laboratory Demographics

  • CLIA Code: 52D2062793
  • Facility Name: CHIPPEWA VALLEY EYE CLINIC, LLC
  • Facility Address: 2715 DAMON ST
    EAU CLAIRE, WI
    ZIP 54701
  • Facility Phone: 715 834-8471
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. THOMAS M. HARVEY
  • NPI Number: 1407858939
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 52D2062793
LAB Type Physician Office
Facility Name CHIPPEWA VALLEY EYE CLINIC, LLC
Street 2715 DAMON ST
City EAU CLAIRE
State WI
ZIP 54701
Phone 715 834-8471
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2025
Certificate Expiration Date 7/22/2027
Facility Type Physician Office
Lab Director DR. THOMAS M. HARVEY

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