14D1078371 CLIA NUMBER - CHRISTIE CLINIC SPINE & PAIN MANAGEMENT

Laboratory Demographics

  • CLIA Code: 14D1078371
  • Facility Name: CHRISTIE CLINIC SPINE & PAIN MANAGEMENT
  • Facility Address: 101 WEST UNIVERSISTY AVE
    CHAMPAIGN, IL
    ZIP 61820
  • Facility Phone: 217 366-5027
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SARA E. JAMES
  • NPI Number: 1487749560
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D1078371
LAB Type Physician Office
Facility Name CHRISTIE CLINIC SPINE & PAIN MANAGEMENT
Street 101 WEST UNIVERSISTY AVE
City CHAMPAIGN
State IL
ZIP 61820
Phone 217 366-5027
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/30/2025
Certificate Expiration Date 5/29/2027
Facility Type Physician Office
Lab Director SARA E. JAMES

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