14D2285952 CLIA NUMBER - CHICAGO OCULOFACIAL PLASTIC SURGERY

Laboratory Demographics

  • CLIA Code: 14D2285952
  • Facility Name: CHICAGO OCULOFACIAL PLASTIC SURGERY
  • Facility Address: 2001 N HALSTED ST - STE 200
    CHICAGO, IL
    ZIP 60614
  • Facility Phone: 312 888-5754
  • Facility Type: Other - OFFICE BASED SURGERY CTR
  • Facility Type: Waiver
  • Lab Director: PAUL PHELPS
  • NPI Number: 1184296972
  • Taxonomy: 207WX0200X - Ophthalmology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2285952
LAB Type Other - OFFICE BASED SURGERY CTR
Facility Name CHICAGO OCULOFACIAL PLASTIC SURGERY
Street 2001 N HALSTED ST - STE 200
City CHICAGO
State IL
ZIP 60614
Phone 312 888-5754
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2025
Certificate Expiration Date 7/19/2027
Facility Type Other - OFFICE BASED SURGERY CTR
Lab Director PAUL PHELPS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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