14D2080441 CLIA NUMBER - QUANTUM VISION CENTERS

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CLIA Record

Field Name Field Value
CLIA Number 14D2080441
LAB Type Physician Office
Facility Name QUANTUM VISION CENTERS
Street 12 PROFESSIONAL PARK DR
City MARYVILLE
State IL
ZIP 62062
Phone 618 310-2225
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2024
Certificate Expiration Date 7/7/2026
Facility Type Physician Office
Lab Director ERIC HUNT WIGTON

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