14D2009035 CLIA NUMBER - PRIMARY EYE CARE ASSOC

Laboratory Demographics

  • CLIA Code: 14D2009035
  • Facility Name: PRIMARY EYE CARE ASSOC
  • Facility Address: 5460 S ARCHER AVE
    CHICAGO, IL
    ZIP 60638
  • Facility Phone: 773 735-6090
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANDIP S. CHANDER
  • NPI Number: 1003078577
  • Taxonomy: 152W00000X - Optometrist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2009035
LAB Type Physician Office
Facility Name PRIMARY EYE CARE ASSOC
Street 5460 S ARCHER AVE
City CHICAGO
State IL
ZIP 60638
Phone 773 735-6090
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Physician Office
Lab Director SANDIP S. CHANDER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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