14D2065544 CLIA NUMBER - NORTH SHORE GLAUCOMA CENTER

Laboratory Demographics

  • CLIA Code: 14D2065544
  • Facility Name: NORTH SHORE GLAUCOMA CENTER
  • Facility Address: 1800 HOLLISTER DR, STE 205
    LIBERTYVILLE, IL
    ZIP 60048
  • Facility Phone: 847 573-9055
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL SAVITT
  • NPI Number: 1669424974
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 14D2065544
LAB Type Physician Office
Facility Name NORTH SHORE GLAUCOMA CENTER
Street 1800 HOLLISTER DR, STE 205
City LIBERTYVILLE
State IL
ZIP 60048
Phone 847 573-9055
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/10/2025
Certificate Expiration Date 9/9/2027
Facility Type Physician Office
Lab Director MICHAEL SAVITT

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