CLIA lab

CLIA 14D2192105: Gustafson Eye Care

Palatine, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 14D2192105 belongs to Gustafson Eye Care in Palatine, IL.

Certificate of Waiver, effective September 4, 2026, expires September 3, 2028.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
September 4, 2026
Certificate expiration
September 3, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 4, 2020
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
14D2192105
Lab name
Gustafson Eye Care
Address
96 W Northwest Hwy, Palatine, IL 60067
Phone
(847) 358-7722
Fax
(847) 934-0661

Annual test volume the lab reported

Waived tests
1,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Palatine, IL

Related

Questions

What is the CLIA number for Gustafson Eye Care in Palatine?

14D2192105, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Gustafson Eye Care hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 14D2192105 expire?

The CMS file lists September 3, 2028 as the certificate expiration date; the certificate took effect September 4, 2026.

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