14D1086528 CLIA NUMBER - CARLE FOUNDATION HOSPITAL - WINDSOR

Laboratory Demographics

CLIA Number: 14D1086528

Facility Name: CARLE FOUNDATION HOSPITAL - WINDSOR

Facility Address:
1818 E WINDSOR RD
URBANA, IL
ZIP 61802
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Facility Phone Number: 217 383-5920

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1053711770

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	14D1086528
LAB Type	Physician Office
Facility Name	CARLE FOUNDATION HOSPITAL - WINDSOR
Street	1818 E WINDSOR RD
City	URBANA
State	IL
ZIP	61802
Phone	217 383-5920
CertificateType	1
CertificateEffectiveDate	9/28/2023
CertificateExpirationDate	9/27/2025
FacilityType	Accreditation

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