14D0912873 CLIA NUMBER - CEDAR COURT CLINIC

Laboratory Demographics

  • CLIA Code: 14D0912873
  • Facility Name: CEDAR COURT CLINIC
  • Facility Address: 1340 CEDAR COURT
    CARBONDALE, IL
    ZIP 62901
  • Facility Phone: 618 734-3022
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: COLLEEN LAWLER-BJORNBERG M D
  • NPI Number: 1801873666
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 14D0912873
LAB Type Physician Office
Facility Name CEDAR COURT CLINIC
Street 1340 CEDAR COURT
City CARBONDALE
State IL
ZIP 62901
Phone 618 734-3022
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2025
Certificate Expiration Date 8/11/2027
Facility Type Physician Office
Lab Director COLLEEN LAWLER-BJORNBERG M D

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