14D1096749 CLIA NUMBER - FORSIGHT VISION LTD

Laboratory Demographics

  • CLIA Code: 14D1096749
  • Facility Name: FORSIGHT VISION LTD
  • Facility Address: 4160 IL RTE 83, SUITE 107
    LONG GROVE, IL
    ZIP 60047
  • Facility Phone: 847 955-9393
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TODD G. COHAN
  • NPI Number: 1386816320
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 14D1096749
LAB Type Physician Office
Facility Name FORSIGHT VISION LTD
Street 4160 IL RTE 83, SUITE 107
City LONG GROVE
State IL
ZIP 60047
Phone 847 955-9393
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2025
Certificate Expiration Date 3/10/2027
Facility Type Physician Office
Lab Director TODD G. COHAN

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