14D2093944 CLIA NUMBER - QUANTUM VISION CENTERS

Laboratory Demographics

  • CLIA Code: 14D2093944
  • Facility Name: QUANTUM VISION CENTERS
  • Facility Address: 1310 D'ADRIAN PROFESSIONAL PARK
    GODFREY, IL
    ZIP 62035
  • Facility Phone: 618 310-2225
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERIC HUNT WIGTON
  • NPI Number: 1376586685
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 14D2093944
LAB Type Physician Office
Facility Name QUANTUM VISION CENTERS
Street 1310 D'ADRIAN PROFESSIONAL PARK
City GODFREY
State IL
ZIP 62035
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 4/7/2025
Certificate Expiration Date 4/6/2027
Facility Type Physician Office
Lab Director ERIC HUNT WIGTON

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