14D1042870 CLIA NUMBER - CHRISTIE CLINIC AT TUSCOLA

Laboratory Demographics

  • CLIA Code: 14D1042870
  • Facility Name: CHRISTIE CLINIC AT TUSCOLA
  • Facility Address: 300 N MAIN ST
    TUSCOLA, IL
    ZIP 61953
  • Facility Phone: 217 253-9258
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Microscopy
  • Lab Director: CAITLYN A. FOOTE
  • NPI Number: 1801486550
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 14D1042870
LAB Type Ancillary Testing Site in Health Care Center
Facility Name CHRISTIE CLINIC AT TUSCOLA
Street 300 N MAIN ST
City TUSCOLA
State IL
ZIP 61953
Phone 217 253-9258
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/24/2025
Certificate Expiration Date 2/23/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director CAITLYN A. FOOTE

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