14D1027351 CLIA NUMBER - CHRISTIE CLINIC DANVILLE FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 14D1027351
  • Facility Name: CHRISTIE CLINIC DANVILLE FAMILY MEDICINE
  • Facility Address: 108 ROBINSON
    DANVILLE, IL
    ZIP 61832
  • Facility Phone: 217 443-0146
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELEANOR P. PETERS MD
  • NPI Number: 1720678469
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 14D1027351
LAB Type Physician Office
Facility Name CHRISTIE CLINIC DANVILLE FAMILY MEDICINE
Street 108 ROBINSON
City DANVILLE
State IL
ZIP 61832
Phone 217 443-0146
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2025
Certificate Expiration Date 5/16/2027
Facility Type Physician Office
Lab Director ELEANOR P. PETERS MD

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