52D2249172 CLIA NUMBER - ADVANCED EYECARE

Laboratory Demographics

  • CLIA Code: 52D2249172
  • Facility Name: ADVANCED EYECARE
  • Facility Address: 300 E MILL ST
    PLYMOUTH, WI
    ZIP 53073
  • Facility Phone: 920 226-0298
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CHERYL L. ZIEGLER
  • NPI Number: 1477659456
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 52D2249172
LAB Type Physician Office
Facility Name ADVANCED EYECARE
Street 300 E MILL ST
City PLYMOUTH
State WI
ZIP 53073
Phone 920 226-0298
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2024
Certificate Expiration Date 1/18/2026
Facility Type Physician Office
Lab Director DR. CHERYL L. ZIEGLER

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This page was last updated on: 3/20/2025