14D2218252 CLIA NUMBER - EYE CLINICS OF ILLINOIS

Laboratory Demographics

  • CLIA Code: 14D2218252
  • Facility Name: EYE CLINICS OF ILLINOIS
  • Facility Address: 12150 S HARLEM AVE
    PALOS HEIGHTS, IL
    ZIP 60463
  • Facility Phone: 708 274-8700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NARAYAN B. PONAKALA
  • NPI Number: 1568811248
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 14D2218252
LAB Type Physician Office
Facility Name EYE CLINICS OF ILLINOIS
Street 12150 S HARLEM AVE
City PALOS HEIGHTS
State IL
ZIP 60463
Phone 708 274-8700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2025
Certificate Expiration Date 3/25/2027
Facility Type Physician Office
Lab Director NARAYAN B. PONAKALA

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