14D1010639 CLIA NUMBER - COURI CENTER FOR GYNE & INTEGRATIVE WOMENS HLTH

Laboratory Demographics

CLIA Number: 14D1010639

Facility Name: COURI CENTER FOR GYNE & INTEGRATIVE WOMENS HLTH

Facility Address:
6708 N KNOXVILLE AVE
PEORIA, IL
ZIP 61614
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Facility Phone Number: 309 692-6838

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1528368875

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	14D1010639
LAB Type	Physician Office
Facility Name	COURI CENTER FOR GYNE & INTEGRATIVE WOMENS HLTH
Street	6708 N KNOXVILLE AVE
City	PEORIA
State	IL
ZIP	61614
Phone	309 692-6838
CertificateType	4
CertificateEffectiveDate	4/20/2023
CertificateExpirationDate	4/19/2025
FacilityType	Waiver

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