14D2313037 CLIA NUMBER - DEKALB EYE CONSULTANTS, LLC

Laboratory Demographics

  • CLIA Code: 14D2313037
  • Facility Name: DEKALB EYE CONSULTANTS, LLC
  • Facility Address: 4659 W FOSTER AVE - STE B
    CHICAGO, IL
    ZIP 60630
  • Facility Phone: 773 583-5727
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JANKI D. CHANDRAVADIA
  • NPI Number: 1952809782
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 14D2313037
LAB Type Physician Office
Facility Name DEKALB EYE CONSULTANTS, LLC
Street 4659 W FOSTER AVE - STE B
City CHICAGO
State IL
ZIP 60630
Phone 773 583-5727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2024
Certificate Expiration Date 10/22/2026
Facility Type Physician Office
Lab Director JANKI D. CHANDRAVADIA

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