52D2068161 CLIA NUMBER - ADVANCED FAMILY EYECARE

Laboratory Demographics

  • CLIA Code: 52D2068161
  • Facility Name: ADVANCED FAMILY EYECARE
  • Facility Address: 308 W FULTON STREET
    WAUPACA, WI
    ZIP 54981
  • Facility Phone: (715) 258-8168
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DANIEL R. EVERTS
  • NPI Number: 1578640223
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 52D2068161
LAB Type Physician Office
Facility Name ADVANCED FAMILY EYECARE
Street 308 W FULTON STREET
City WAUPACA
State WI
ZIP 54981
Phone 7152588168
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2025
Certificate Expiration Date 1/25/2027
Facility Type Physician Office
Lab Director DR. DANIEL R. EVERTS

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This page was last updated on: 5/18/2026