14D2049660 CLIA NUMBER - ORTIZ EYE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 14D2049660
  • Facility Name: ORTIZ EYE ASSOCIATES
  • Facility Address: 880 BEDFORD DR
    MORRIS, IL
    ZIP 60450
  • Facility Phone: 815 942-5500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANGELO MARINO O D
  • NPI Number: 1568685923
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 14D2049660
LAB Type Physician Office
Facility Name ORTIZ EYE ASSOCIATES
Street 880 BEDFORD DR
City MORRIS
State IL
ZIP 60450
Phone 815 942-5500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2024
Certificate Expiration Date 11/8/2026
Facility Type Physician Office
Lab Director ANGELO MARINO O D

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