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14D0663585 CLIA NUMBER - CARLE FOUNDATION HOSPITAL (MONTICELLO)

Laboratory Demographics

CLIA Number: 14D0663585

Facility Name: CARLE FOUNDATION HOSPITAL (MONTICELLO)

Facility Address:
1002 MEDICAL CENTER DR
MONTICELLO, IL
ZIP 61856
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Facility Phone Number: 217 383-5920

Facility Type: Physician Office

Certificate Type: Accreditation
NPI Number: 1720133119

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

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
CertificateType 1
CertificateEffectiveDate 9/28/2023
CertificateExpirationDate 9/27/2025
FacilityType Accreditation

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This page was last updated on: 4/23/2024