14D2303793 CLIA NUMBER - NIKOUMANESH EYE CARE LLC

Laboratory Demographics

  • CLIA Code: 14D2303793
  • Facility Name: NIKOUMANESH EYE CARE LLC
  • Facility Address: 1200 N LARRABEE ST
    CHICAGO, IL
    ZIP 60610
  • Facility Phone: (312) 475-0896
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NASIM NIKOUMANESH
  • NPI Number: 1275234866
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 14D2303793
LAB Type Physician Office
Facility Name NIKOUMANESH EYE CARE LLC
Street 1200 N LARRABEE ST
City CHICAGO
State IL
ZIP 60610
Phone 3124750896
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2026
Certificate Expiration Date 4/30/2028
Facility Type Physician Office
Lab Director NASIM NIKOUMANESH

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This page was last updated on: 5/18/2026