14D0895400 CLIA NUMBER - EYESOUTH SURGERY CENTER AT OAK LAWN

Laboratory Demographics

  • CLIA Code: 14D0895400
  • Facility Name: EYESOUTH SURGERY CENTER AT OAK LAWN
  • Facility Address: 6311 W 95TH ST
    OAK LAWN, IL
    ZIP 60453
  • Facility Phone: 708 499-3355
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SHIVAN HIRALAL S. TEKWANI
  • NPI Number: 1518967082
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0895400
LAB Type Ambulatory Surgery Center
Facility Name EYESOUTH SURGERY CENTER AT OAK LAWN
Street 6311 W 95TH ST
City OAK LAWN
State IL
ZIP 60453
Phone 708 499-3355
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2024
Certificate Expiration Date 12/7/2026
Facility Type Ambulatory Surgery Center
Lab Director SHIVAN HIRALAL S. TEKWANI

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This page was last updated on: 6/4/2025