14D2276705 CLIA NUMBER - FORZLEY EYE CLINIC

Laboratory Demographics

  • CLIA Code: 14D2276705
  • Facility Name: FORZLEY EYE CLINIC
  • Facility Address: 1192 WALTER ST - STE A
    LEMONT, IL
    ZIP 60439
  • Facility Phone: 630 243-2020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAMUEL FORZLEY
  • NPI Number: 1851301006
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 14D2276705
LAB Type Physician Office
Facility Name FORZLEY EYE CLINIC
Street 1192 WALTER ST - STE A
City LEMONT
State IL
ZIP 60439
Phone 630 243-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2025
Certificate Expiration Date 2/13/2027
Facility Type Physician Office
Lab Director SAMUEL FORZLEY

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