14D2108381 CLIA NUMBER - EVANSTON EYE WELLNESS CHRISTINA LEVI ODPC

Laboratory Demographics

  • CLIA Code: 14D2108381
  • Facility Name: EVANSTON EYE WELLNESS CHRISTINA LEVI ODPC
  • Facility Address: 716 MAIN ST
    EVANSTON, IL
    ZIP 60202
  • Facility Phone: 847 350-7952
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEANA LABROSSE
  • NPI Number: 1801265657
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 14D2108381
LAB Type Physician Office
Facility Name EVANSTON EYE WELLNESS CHRISTINA LEVI ODPC
Street 716 MAIN ST
City EVANSTON
State IL
ZIP 60202
Phone 847 350-7952
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2024
Certificate Expiration Date 2/2/2026
Facility Type Physician Office
Lab Director DEANA LABROSSE

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