52D2112004 CLIA NUMBER - TOWER CLOCK EYE CENTER, SC

Laboratory Demographics

  • CLIA Code: 52D2112004
  • Facility Name: TOWER CLOCK EYE CENTER, SC
  • Facility Address: 1087 W MASON ST
    GREEN BAY, WI
    ZIP 54303
  • Facility Phone: 920 499-3102
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MATTHEW J. THOMPSON
  • NPI Number: 1801998729
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 52D2112004
LAB Type Physician Office
Facility Name TOWER CLOCK EYE CENTER, SC
Street 1087 W MASON ST
City GREEN BAY
State WI
ZIP 54303
Phone 920 499-3102
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2024
Certificate Expiration Date 4/19/2026
Facility Type Physician Office
Lab Director DR. MATTHEW J. THOMPSON

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