14D2109216 CLIA NUMBER - PROGRESSIVE VISION CENTER

Laboratory Demographics

  • CLIA Code: 14D2109216
  • Facility Name: PROGRESSIVE VISION CENTER
  • Facility Address: 42 N MAIN ST
    CANTON, IL
    ZIP 61520
  • Facility Phone: 309 647-2020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT C. BOBELL
  • NPI Number: 1619290970
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 14D2109216
LAB Type Physician Office
Facility Name PROGRESSIVE VISION CENTER
Street 42 N MAIN ST
City CANTON
State IL
ZIP 61520
Phone 309 647-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2024
Certificate Expiration Date 2/21/2026
Facility Type Physician Office
Lab Director ROBERT C. BOBELL

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