14D0432770 CLIA NUMBER - WOMENS HEALTH PRACTICE

Laboratory Demographics

  • CLIA Code: 14D0432770
  • Facility Name: WOMENS HEALTH PRACTICE
  • Facility Address: 2125 S NEIL ST
    CHAMPAIGN, IL
    ZIP 61820
  • Facility Phone: 217 356-3736
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUZANNE TRUPIN
  • NPI Number: 1316236573
  • Taxonomy: 261Q00000X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D0432770
LAB Type Physician Office
Facility Name WOMENS HEALTH PRACTICE
Street 2125 S NEIL ST
City CHAMPAIGN
State IL
ZIP 61820
Phone 217 356-3736
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2024
Certificate Expiration Date 8/4/2026
Facility Type Physician Office
Lab Director SUZANNE TRUPIN

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