14D2085005 CLIA NUMBER - MCDONOUGH EYE ASSOCIATES PC

Laboratory Demographics

  • CLIA Code: 14D2085005
  • Facility Name: MCDONOUGH EYE ASSOCIATES PC
  • Facility Address: 505 E GRANT, HSB1 - STE 206
    MACOMB, IL
    ZIP 61455
  • Facility Phone: 309 836-3937
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TIMOTHY L. WILLIAMS OD
  • NPI Number: 1144224924
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 14D2085005
LAB Type Physician Office
Facility Name MCDONOUGH EYE ASSOCIATES PC
Street 505 E GRANT, HSB1 - STE 206
City MACOMB
State IL
ZIP 61455
Phone 309 836-3937
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2024
Certificate Expiration Date 10/5/2026
Facility Type Physician Office
Lab Director TIMOTHY L. WILLIAMS OD

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