14D1097920 CLIA NUMBER - CARLE HEALTH ENDOSCOPY CENTER PEORIA

Laboratory Demographics

  • CLIA Code: 14D1097920
  • Facility Name: CARLE HEALTH ENDOSCOPY CENTER PEORIA
  • Facility Address: 1001 MAIN ST - STE #500B
    PEORIA, IL
    ZIP 61606
  • Facility Phone: 309 495-1157
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SCOTT WU
  • NPI Number: 1790924306
  • Taxonomy: 261QE0800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D1097920
LAB Type Ambulatory Surgery Center
Facility Name CARLE HEALTH ENDOSCOPY CENTER PEORIA
Street 1001 MAIN ST - STE #500B
City PEORIA
State IL
ZIP 61606
Phone 309 495-1157
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2025
Certificate Expiration Date 4/6/2027
Facility Type Ambulatory Surgery Center
Lab Director SCOTT WU

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