14D2075790 CLIA NUMBER - PRAIRIE EYE CENTER

Laboratory Demographics

  • CLIA Code: 14D2075790
  • Facility Name: PRAIRIE EYE CENTER
  • Facility Address: 200 E MECHANIC ST, STE 104
    HILLSBORO, IL
    ZIP 62049
  • Facility Phone: 217 532-3036
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANDRA W. YEH M D
  • NPI Number: 1477783694
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 14D2075790
LAB Type Physician Office
Facility Name PRAIRIE EYE CENTER
Street 200 E MECHANIC ST, STE 104
City HILLSBORO
State IL
ZIP 62049
Phone 217 532-3036
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2024
Certificate Expiration Date 4/6/2026
Facility Type Physician Office
Lab Director SANDRA W. YEH M D

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