14D2150370 CLIA NUMBER - TRANSITIONS HOSPICE CENTRAL ILLINOIS, L L C

Laboratory Demographics

  • CLIA Code: 14D2150370
  • Facility Name: TRANSITIONS HOSPICE CENTRAL ILLINOIS, L L C
  • Facility Address: 3011A VILLAGE OFFICE PLACE
    CHAMPAIGN, IL
    ZIP 61820
  • Facility Phone: 847 515-1505
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DARRIN M. RAY
  • NPI Number: 1063928315
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 14D2150370
LAB Type Hospice
Facility Name TRANSITIONS HOSPICE CENTRAL ILLINOIS, L L C
Street 3011A VILLAGE OFFICE PLACE
City CHAMPAIGN
State IL
ZIP 61820
Phone 847 515-1505
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2024
Certificate Expiration Date 6/21/2026
Facility Type Hospice
Lab Director DARRIN M. RAY

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