14D0990092 CLIA NUMBER - C H C I CARLE PHYSICIAN GROUP- EFFINGHAM

Laboratory Demographics

  • CLIA Code: 14D0990092
  • Facility Name: C H C I CARLE PHYSICIAN GROUP- EFFINGHAM
  • Facility Address: 401 N KELLER
    EFFINGHAM, IL
    ZIP 62401
  • Facility Phone: 217 347-6400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ZHENG LIU, MD
  • NPI Number: 1689946022
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 14D0990092
LAB Type Physician Office
Facility Name C H C I CARLE PHYSICIAN GROUP- EFFINGHAM
Street 401 N KELLER
City EFFINGHAM
State IL
ZIP 62401
Phone 217 347-6400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Physician Office
Lab Director ZHENG LIU, MD

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