14D2086899 CLIA NUMBER - MALIK EYE INSTITUTE LLC

Laboratory Demographics

  • CLIA Code: 14D2086899
  • Facility Name: MALIK EYE INSTITUTE LLC
  • Facility Address: 3865 N MULFORD RD
    ROCKFORD, IL
    ZIP 61114
  • Facility Phone: 815 399-2190
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MASUD MALIK
  • NPI Number: 1407281009
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 14D2086899
LAB Type Physician Office
Facility Name MALIK EYE INSTITUTE LLC
Street 3865 N MULFORD RD
City ROCKFORD
State IL
ZIP 61114
Phone 815 399-2190
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Physician Office
Lab Director MASUD MALIK

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