14D2104794 CLIA NUMBER - WHEATON EYE CLINIC

Laboratory Demographics

  • CLIA Code: 14D2104794
  • Facility Name: WHEATON EYE CLINIC
  • Facility Address: 2015 N MAIN ST
    WHEATON, IL
    ZIP 60187
  • Facility Phone: 630 668-8250
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JON P. GIESER M D
  • NPI Number: 1588647101
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 14D2104794
LAB Type Physician Office
Facility Name WHEATON EYE CLINIC
Street 2015 N MAIN ST
City WHEATON
State IL
ZIP 60187
Phone 630 668-8250
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2023
Certificate Expiration Date 11/11/2025
Facility Type Physician Office
Lab Director JON P. GIESER M D

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