14D2042427 CLIA NUMBER - PRAIRIE EYE CENTER LTD

Laboratory Demographics

  • CLIA Code: 14D2042427
  • Facility Name: PRAIRIE EYE CENTER LTD
  • Facility Address: 960 E MOUND RD
    DECATUR, IL
    ZIP 62526
  • Facility Phone: 217 877-5050
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANDRA YEH MD
  • NPI Number: 1679166953
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 14D2042427
LAB Type Physician Office
Facility Name PRAIRIE EYE CENTER LTD
Street 960 E MOUND RD
City DECATUR
State IL
ZIP 62526
Phone 217 877-5050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2024
Certificate Expiration Date 6/12/2026
Facility Type Physician Office
Lab Director SANDRA YEH MD

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