Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
14D2054704
|
|
Clinical laboratory number
|
|
Lab Name
|
WICKER PARK EYE CENTER (DBA)
|
|
Laboratory Name
|
|
Lab Type
|
Physician Office
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
773-376-2020
|
|
Laboratory telephone number
|
|
Fax
|
773-376-9110
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
2222 W DIVISION ST, STE 135
|
|
Primary location adress line
|
|
City
|
CHICAGO
|
|
Primary location city name
|
|
State
|
IL
|
|
Primary location state name
|
|
Zip
|
60622
|
|
Primary location postal code
|