14D2077890 CLIA NUMBER - VISIONARY EYE CARE

Laboratory Demographics

  • CLIA Code: 14D2077890
  • Facility Name: VISIONARY EYE CARE
  • Facility Address: 5222 N CLARK ST
    CHICAGO, IL
    ZIP 60640
  • Facility Phone: 773 275-2538
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL CISZEK
  • NPI Number: 1609972892
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 14D2077890
LAB Type Physician Office
Facility Name VISIONARY EYE CARE
Street 5222 N CLARK ST
City CHICAGO
State IL
ZIP 60640
Phone 773 275-2538
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2024
Certificate Expiration Date 5/15/2026
Facility Type Physician Office
Lab Director MICHAEL CISZEK

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