14D2062270 CLIA NUMBER - VIRDI EYE CLINIC (DBA) PREM S VIRDI M D P C

Laboratory Demographics

  • CLIA Code: 14D2062270
  • Facility Name: VIRDI EYE CLINIC (DBA) PREM S VIRDI M D P C
  • Facility Address: 4600 - 30TH ST
    ROCK ISLAND, IL
    ZIP 61201
  • Facility Phone: 309 788-5524
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NAVANEET S. CHAILERTBORISUTH
  • NPI Number: 1811950892
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 14D2062270
LAB Type Physician Office
Facility Name VIRDI EYE CLINIC (DBA) PREM S VIRDI M D P C
Street 4600 - 30TH ST
City ROCK ISLAND
State IL
ZIP 61201
Phone 309 788-5524
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2025
Certificate Expiration Date 7/14/2027
Facility Type Physician Office
Lab Director NAVANEET S. CHAILERTBORISUTH

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