14D2000293 CLIA NUMBER - CHRISTIE CLINIC

Laboratory Demographics

  • CLIA Code: 14D2000293
  • Facility Name: CHRISTIE CLINIC
  • Facility Address: 1801 W WINDSOR
    CHAMPAIGN, IL
    ZIP 61822
  • Facility Phone: 217 366-4407
  • Facility Type: Other - MULTISPECIALTY CLINIC
  • Facility Type: Waiver
  • Lab Director: YASSER A. HAIDER
  • NPI Number: 1699214999
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2000293
LAB Type Other - MULTISPECIALTY CLINIC
Facility Name CHRISTIE CLINIC
Street 1801 W WINDSOR
City CHAMPAIGN
State IL
ZIP 61822
Phone 217 366-4407
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/25/2023
Certificate Expiration Date 11/24/2025
Facility Type Other - MULTISPECIALTY CLINIC
Lab Director YASSER A. HAIDER

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