14D2107358 CLIA NUMBER - CHICAGO GLAUCOMA CONSULTANTS

Laboratory Demographics

  • CLIA Code: 14D2107358
  • Facility Name: CHICAGO GLAUCOMA CONSULTANTS
  • Facility Address: 2640 PATRIOT BLVD STE - 100
    GLENVIEW, IL
    ZIP 60026
  • Facility Phone: 847 510-6000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CARMEN L. CASTRO
  • NPI Number: 1386661379
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 14D2107358
LAB Type Physician Office
Facility Name CHICAGO GLAUCOMA CONSULTANTS
Street 2640 PATRIOT BLVD STE - 100
City GLENVIEW
State IL
ZIP 60026
Phone 847 510-6000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/9/2024
Certificate Expiration Date 3/8/2026
Facility Type Physician Office
Lab Director CARMEN L. CASTRO

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