14D2070406 CLIA NUMBER - NORTHWESTERN MEDICINE - OPHTHALMOLOGY

Laboratory Demographics

  • CLIA Code: 14D2070406
  • Facility Name: NORTHWESTERN MEDICINE - OPHTHALMOLOGY
  • Facility Address: 259 E ERIE, LAVIN PAVILION, SUITE 1520
    CHICAGO, IL
    ZIP 60611
  • Facility Phone: (312) 695-8150
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HEIDI L. MOORE
  • NPI Number: 1649668401
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2070406
LAB Type Physician Office
Facility Name NORTHWESTERN MEDICINE - OPHTHALMOLOGY
Street 259 E ERIE, LAVIN PAVILION, SUITE 1520
City CHICAGO
State IL
ZIP 60611
Phone 3126958150
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2025
Certificate Expiration Date 12/15/2027
Facility Type Physician Office
Lab Director HEIDI L. MOORE

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This page was last updated on: 5/18/2026