14D2061979 CLIA NUMBER - SOUTHWEST EYE CENTER S C

Laboratory Demographics

  • CLIA Code: 14D2061979
  • Facility Name: SOUTHWEST EYE CENTER S C
  • Facility Address: 3330 WEST 177TH ST, UNIT 1B
    HAZEL CREST, IL
    ZIP 60429
  • Facility Phone: 708 799-9490
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BHAGVANJI M. MEGHPARA
  • NPI Number: 1992833008
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 14D2061979
LAB Type Physician Office
Facility Name SOUTHWEST EYE CENTER S C
Street 3330 WEST 177TH ST, UNIT 1B
City HAZEL CREST
State IL
ZIP 60429
Phone 708 799-9490
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2023
Certificate Expiration Date 7/8/2025
Facility Type Physician Office
Lab Director BHAGVANJI M. MEGHPARA

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This page was last updated on: 6/4/2025