14D0690105 CLIA NUMBER - CARLE FOUND HOSP RESPIRATORY CARE SERVICES LAB

Laboratory Demographics

CLIA Number: 14D0690105

Facility Name: CARLE FOUND HOSP RESPIRATORY CARE SERVICES LAB

Facility Address:
611 W PARK STREET
URBANA, IL
ZIP 61801
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Facility Phone Number: 217 383-4559

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1366597742

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	14D0690105
LAB Type	Hospital
Facility Name	CARLE FOUND HOSP RESPIRATORY CARE SERVICES LAB
Street	611 W PARK STREET
City	URBANA
State	IL
ZIP	61801
Phone	217 383-4559
CertificateType	1
CertificateEffectiveDate	11/4/2022
CertificateExpirationDate	11/3/2024
FacilityType	Accreditation

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