14D2059472 CLIA NUMBER - KEHOE EYE CARE P C

Laboratory Demographics

  • CLIA Code: 14D2059472
  • Facility Name: KEHOE EYE CARE P C
  • Facility Address: 261 N BROAD ST, STE 35
    GALESBURG, IL
    ZIP 61401
  • Facility Phone: 309 343-1179
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PETER H. KEHOE O D
  • NPI Number: 1831367077
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 14D2059472
LAB Type Physician Office
Facility Name KEHOE EYE CARE P C
Street 261 N BROAD ST, STE 35
City GALESBURG
State IL
ZIP 61401
Phone 309 343-1179
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2025
Certificate Expiration Date 5/22/2027
Facility Type Physician Office
Lab Director PETER H. KEHOE O D

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