14D0683765 CLIA NUMBER - PLANNED PARENTHOOD OF ILLINOIS

Laboratory Demographics

CLIA Number: 14D0683765

Facility Name: PLANNED PARENTHOOD OF ILLINOIS

Facility Address:
302 E STOUGHTON STREET
CHAMPAIGN, IL
ZIP 61820
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Facility Phone Number: 217 359-8022

Facility Type: Community Clinic

Certificate Type: Certificate of Compliance

NPI Number: 1134536063

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	14D0683765
LAB Type	Community Clinic
Facility Name	PLANNED PARENTHOOD OF ILLINOIS
Street	302 E STOUGHTON STREET
City	CHAMPAIGN
State	IL
ZIP	61820
Phone	217 359-8022
CertificateType	2
CertificateEffectiveDate	12/3/2022
CertificateExpirationDate	12/2/2024
FacilityType	Compliance

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