52D2180710 CLIA NUMBER - EYE PHYSICIAN ASSOCIATES, SC

Laboratory Demographics

  • CLIA Code: 52D2180710
  • Facility Name: EYE PHYSICIAN ASSOCIATES, SC
  • Facility Address: 1249 W LIEBAU RD SUITE 102
    MEQUON, WI
    ZIP 53092
  • Facility Phone: 262 243-3001
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MARC D. HIRSCH
  • NPI Number: 1427347822
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 52D2180710
LAB Type Physician Office
Facility Name EYE PHYSICIAN ASSOCIATES, SC
Street 1249 W LIEBAU RD SUITE 102
City MEQUON
State WI
ZIP 53092
Phone 262 243-3001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2024
Certificate Expiration Date 3/17/2026
Facility Type Physician Office
Lab Director DR. MARC D. HIRSCH

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