14D2057801 CLIA NUMBER - EYE CARE LTD

Laboratory Demographics

  • CLIA Code: 14D2057801
  • Facility Name: EYE CARE LTD
  • Facility Address: 9630 N KENTON AVE
    SKOKIE, IL
    ZIP 60076
  • Facility Phone: 847 677-1631
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RUSSELL LE BOYER M D
  • NPI Number: 1164576807
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 14D2057801
LAB Type Physician Office
Facility Name EYE CARE LTD
Street 9630 N KENTON AVE
City SKOKIE
State IL
ZIP 60076
Phone 847 677-1631
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2025
Certificate Expiration Date 4/23/2027
Facility Type Physician Office
Lab Director RUSSELL LE BOYER M D

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