14D2038048 CLIA NUMBER - KIRK EYE CENTER SC

Laboratory Demographics

  • CLIA Code: 14D2038048
  • Facility Name: KIRK EYE CENTER SC
  • Facility Address: 3115 N HARLEM AVE - STE 300
    CHICAGO, IL
    ZIP 60634
  • Facility Phone: 708 771-3334
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KATHLEEN M. SCARPULLA
  • NPI Number: 1790886851
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 14D2038048
LAB Type Physician Office
Facility Name KIRK EYE CENTER SC
Street 3115 N HARLEM AVE - STE 300
City CHICAGO
State IL
ZIP 60634
Phone 708 771-3334
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2024
Certificate Expiration Date 3/11/2026
Facility Type Physician Office
Lab Director KATHLEEN M. SCARPULLA

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