14D2098771 CLIA NUMBER - QUANTUM VISION CENTERS

Laboratory Demographics

  • CLIA Code: 14D2098771
  • Facility Name: QUANTUM VISION CENTERS
  • Facility Address: 3000 BROADWAY ST
    MOUNT VERNON, IL
    ZIP 62864
  • Facility Phone: 618 310-2225
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERIC HUNT WIGTON
  • NPI Number: 1982898375
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 14D2098771
LAB Type Physician Office
Facility Name QUANTUM VISION CENTERS
Street 3000 BROADWAY ST
City MOUNT VERNON
State IL
ZIP 62864
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 7/14/2025
Certificate Expiration Date 7/13/2027
Facility Type Physician Office
Lab Director ERIC HUNT WIGTON

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