14D2239389 CLIA NUMBER - 730 NORTH OPTOMETRY

Laboratory Demographics

  • CLIA Code: 14D2239389
  • Facility Name: 730 NORTH OPTOMETRY
  • Facility Address: 730 N MILWAUKEE AVE
    LIBERTYVILLE, IL
    ZIP 60048
  • Facility Phone: 847 362-9900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANGELA C. PAK OH
  • NPI Number: 1821435660
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 14D2239389
LAB Type Physician Office
Facility Name 730 NORTH OPTOMETRY
Street 730 N MILWAUKEE AVE
City LIBERTYVILLE
State IL
ZIP 60048
Phone 847 362-9900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2025
Certificate Expiration Date 10/11/2027
Facility Type Physician Office
Lab Director ANGELA C. PAK OH

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