52D2080875 CLIA NUMBER - ADVANCED EYECARE CENTER

Laboratory Demographics

  • CLIA Code: 52D2080875
  • Facility Name: ADVANCED EYECARE CENTER
  • Facility Address: 3237 RIVERSIDE DR
    GREEN BAY, WI
    ZIP 54301
  • Facility Phone: 920 336-2020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MR. GLENN D. CARLI
  • NPI Number: 1174552376
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 52D2080875
LAB Type Physician Office
Facility Name ADVANCED EYECARE CENTER
Street 3237 RIVERSIDE DR
City GREEN BAY
State WI
ZIP 54301
Phone 920 336-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2024
Certificate Expiration Date 7/15/2026
Facility Type Physician Office
Lab Director MR. GLENN D. CARLI

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