14D1067576 CLIA NUMBER - DUPAGE EYE SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 14D1067576
  • Facility Name: DUPAGE EYE SURGERY CENTER LLC
  • Facility Address: 2015 N MAIN ST
    WHEATON, IL
    ZIP 60187
  • Facility Phone: 630 665-3690
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: THOMAS S. MICHELSON
  • NPI Number: 1801811773
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D1067576
LAB Type Ambulatory Surgery Center
Facility Name DUPAGE EYE SURGERY CENTER LLC
Street 2015 N MAIN ST
City WHEATON
State IL
ZIP 60187
Phone 630 665-3690
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2025
Certificate Expiration Date 4/22/2027
Facility Type Ambulatory Surgery Center
Lab Director THOMAS S. MICHELSON

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