52D2243009 CLIA NUMBER - VICKERS EYE CARE, INC

Laboratory Demographics

  • CLIA Code: 52D2243009
  • Facility Name: VICKERS EYE CARE, INC
  • Facility Address: 9815 STATE HWY 70 W
    MINOCQUA, WI
    ZIP 54548
  • Facility Phone: 715 358-3937
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CHARLES G. VICKERS
  • NPI Number: 1235337494
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 52D2243009
LAB Type Physician Office
Facility Name VICKERS EYE CARE, INC
Street 9815 STATE HWY 70 W
City MINOCQUA
State WI
ZIP 54548
Phone 715 358-3937
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2023
Certificate Expiration Date 11/15/2025
Facility Type Physician Office
Lab Director DR. CHARLES G. VICKERS

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