14D0663585 CLIA NUMBER - CARLE FOUNDATION HOSPITAL (MONTICELLO)

Laboratory Demographics

  • CLIA Code: 14D0663585
  • Facility Name: CARLE FOUNDATION HOSPITAL (MONTICELLO)
  • Facility Address: 1002 MEDICAL CENTER DR
    MONTICELLO, IL
    ZIP 61856
  • Facility Phone: 217 383-5920
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: FARAH GAUDIER
  • NPI Number: 1720133119
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D0663585
LAB Type Physician Office
Facility Name CARLE FOUNDATION HOSPITAL (MONTICELLO)
Street 1002 MEDICAL CENTER DR
City MONTICELLO
State IL
ZIP 61856
Phone 217 383-5920
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 9/28/2025
Certificate Expiration Date 9/27/2027
Facility Type Physician Office
Lab Director FARAH GAUDIER

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