14D2041119 CLIA NUMBER - QUANTUM VISION CENTERS

Laboratory Demographics

  • CLIA Code: 14D2041119
  • Facility Name: QUANTUM VISION CENTERS
  • Facility Address: 3990 N ILLINOIS
    BELLEVILLE, IL
    ZIP 62226
  • Facility Phone: 618 310-2225
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERIC HUNT WIGTON
  • NPI Number: 1992999890
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 14D2041119
LAB Type Physician Office
Facility Name QUANTUM VISION CENTERS
Street 3990 N ILLINOIS
City BELLEVILLE
State IL
ZIP 62226
Phone 618 310-2225
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2024
Certificate Expiration Date 5/15/2026
Facility Type Physician Office
Lab Director ERIC HUNT WIGTON

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