14D2127357 CLIA NUMBER - CARMI FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 14D2127357
  • Facility Name: CARMI FAMILY MEDICINE
  • Facility Address: 1388 IL HIGHWAY 1
    CARMI, IL
    ZIP 62821
  • Facility Phone: 618 389-9329
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: CALEB J. MITCHELL
  • NPI Number: 1134650997
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2127357
LAB Type Rural Health Clinic
Facility Name CARMI FAMILY MEDICINE
Street 1388 IL HIGHWAY 1
City CARMI
State IL
ZIP 62821
Phone 618 389-9329
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/2/2025
Certificate Expiration Date 1/1/2027
Facility Type Rural Health Clinic
Lab Director CALEB J. MITCHELL

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