14D2074677 CLIA NUMBER - MULTACK EYE CARE S C

Laboratory Demographics

  • CLIA Code: 14D2074677
  • Facility Name: MULTACK EYE CARE S C
  • Facility Address: 20303 S CRAWFORD AVE, STE L L 1
    OLYMPIA FIELDS, IL
    ZIP 60461
  • Facility Phone: 708 898-1858
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAMUEL J. MULTACK
  • NPI Number: 1851655989
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 14D2074677
LAB Type Physician Office
Facility Name MULTACK EYE CARE S C
Street 20303 S CRAWFORD AVE, STE L L 1
City OLYMPIA FIELDS
State IL
ZIP 60461
Phone 708 898-1858
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2024
Certificate Expiration Date 3/12/2026
Facility Type Physician Office
Lab Director SAMUEL J. MULTACK

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