14D2024789 CLIA NUMBER - CARLE CANCER CENTER

Laboratory Demographics

  • CLIA Code: 14D2024789
  • Facility Name: CARLE CANCER CENTER
  • Facility Address: 509 W UNIVERSITY AVE
    URBANA, IL
    ZIP 61801
  • Facility Phone: 217 383-5920
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FARAH GAUDIER M D
  • NPI Number: 1669647285
  • Taxonomy: 282NC0060X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 14D2024789
LAB Type Physician Office
Facility Name CARLE CANCER CENTER
Street 509 W UNIVERSITY AVE
City URBANA
State IL
ZIP 61801
Phone 217 383-5920
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2025
Certificate Expiration Date 5/23/2027
Facility Type Physician Office
Lab Director FARAH GAUDIER M D

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