14D2051169 CLIA NUMBER - MIDWEST EYE PROFESSIONALS

Laboratory Demographics

  • CLIA Code: 14D2051169
  • Facility Name: MIDWEST EYE PROFESSIONALS
  • Facility Address: 9661 W 143RD ST - STE 202
    ORLAND PARK, IL
    ZIP 60462
  • Facility Phone: 708 361-6141
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RONALD J. CARR
  • NPI Number: 1396866323
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 14D2051169
LAB Type Physician Office
Facility Name MIDWEST EYE PROFESSIONALS
Street 9661 W 143RD ST - STE 202
City ORLAND PARK
State IL
ZIP 60462
Phone 708 361-6141
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2024
Certificate Expiration Date 12/12/2026
Facility Type Physician Office
Lab Director RONALD J. CARR

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