14D2280222 CLIA NUMBER - PALATINE LOCAL 597 FAMILY WELLNESS CENTER

Laboratory Demographics

CLIA Number: 14D2280222

Facility Name: PALATINE LOCAL 597 FAMILY WELLNESS CENTER

Facility Address:
560 S VERMONT - STE 100
PALATINE, IL
ZIP 60067
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Facility Phone Number: 802 857-0400

Facility Type: Other - ONSITE HEALTH CENTER

Certificate Type: Waiver

NPI Number: 1073561809

Taxonomy: 152W00000X - Optometrist
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

CLIA Record

Field Name Field Value
CLIA Number 14D2280222
LAB Type Other - ONSITE HEALTH CENTER
Facility Name PALATINE LOCAL 597 FAMILY WELLNESS CENTER
Street 560 S VERMONT - STE 100
City PALATINE
State IL
ZIP 60067
Phone 802 857-0400
CertificateType 4
CertificateEffectiveDate 4/16/2023
CertificateExpirationDate 4/15/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024