14D0434065 CLIA NUMBER - EYE SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 14D0434065
  • Facility Name: EYE SURGERY CENTER, LLC
  • Facility Address: 3990 N ILLINOIS
    BELLEVILLE, IL
    ZIP 62226
  • Facility Phone: 618 235-3100
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BART A. JONES
  • NPI Number: 1902849227
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0434065
LAB Type Ambulatory Surgery Center
Facility Name EYE SURGERY CENTER, LLC
Street 3990 N ILLINOIS
City BELLEVILLE
State IL
ZIP 62226
Phone 618 235-3100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Ambulatory Surgery Center
Lab Director BART A. JONES

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