14D2304747 CLIA NUMBER - ADVANCED EYE CARE, SC

Laboratory Demographics

  • CLIA Code: 14D2304747
  • Facility Name: ADVANCED EYE CARE, SC
  • Facility Address: 15900 W 127TH ST - STE 200
    LEMONT, IL
    ZIP 60439
  • Facility Phone: 815 485-2727
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TIMOTHY A. KISIA
  • NPI Number: 1831154947
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 14D2304747
LAB Type Physician Office
Facility Name ADVANCED EYE CARE, SC
Street 15900 W 127TH ST - STE 200
City LEMONT
State IL
ZIP 60439
Phone 815 485-2727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2024
Certificate Expiration Date 5/16/2026
Facility Type Physician Office
Lab Director TIMOTHY A. KISIA

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