14D2054175 CLIA NUMBER - TICHO EYE ASSCOCIATES

Laboratory Demographics

  • CLIA Code: 14D2054175
  • Facility Name: TICHO EYE ASSCOCIATES
  • Facility Address: 10436 SOUTHWEST HWY
    CHICAGO RIDGE, IL
    ZIP 60415
  • Facility Phone: 708 952-0109
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BENJAMIN H. TICHO M D
  • NPI Number: 1043794506
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 14D2054175
LAB Type Physician Office
Facility Name TICHO EYE ASSCOCIATES
Street 10436 SOUTHWEST HWY
City CHICAGO RIDGE
State IL
ZIP 60415
Phone 708 952-0109
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/15/2025
Certificate Expiration Date 2/14/2027
Facility Type Physician Office
Lab Director BENJAMIN H. TICHO M D

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