14D2238797 CLIA NUMBER - RETINA SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 14D2238797
  • Facility Name: RETINA SURGERY CENTER, LLC
  • Facility Address: 8780 W GOLF RD
    NILES, IL
    ZIP 60714
  • Facility Phone: 847 485-9990
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JOHN MICHAEL
  • NPI Number: 1912668260
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2238797
LAB Type Ambulatory Surgery Center
Facility Name RETINA SURGERY CENTER, LLC
Street 8780 W GOLF RD
City NILES
State IL
ZIP 60714
Phone 847 485-9990
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2023
Certificate Expiration Date 10/5/2025
Facility Type Ambulatory Surgery Center
Lab Director JOHN MICHAEL

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