14D2325045 CLIA NUMBER - DEAN OPTICAL

Laboratory Demographics

  • CLIA Code: 14D2325045
  • Facility Name: DEAN OPTICAL
  • Facility Address: 209 S LASALLE ST - STE 120
    CHICAGO, IL
    ZIP 60604
  • Facility Phone: 312 332-4461
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHARMI SHIYARWALA
  • NPI Number: 1659497071
  • Taxonomy: 152WC0802X - Optometrist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2325045
LAB Type Physician Office
Facility Name DEAN OPTICAL
Street 209 S LASALLE ST - STE 120
City CHICAGO
State IL
ZIP 60604
Phone 312 332-4461
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/5/2025
Certificate Expiration Date 6/4/2027
Facility Type Physician Office
Lab Director CHARMI SHIYARWALA

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