14D2190653 CLIA NUMBER - CHRISTIE CLINIC

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CLIA Record

Field Name Field Value
CLIA Number 14D2190653
LAB Type Physician Office
Facility Name CHRISTIE CLINIC
Street 109 W UNIVERSITY AVE
City CHAMPAIGN
State IL
ZIP 61820
Phone 217 366-5180
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2024
Certificate Expiration Date 8/17/2026
Facility Type Physician Office
Lab Director STEVEN J. DAMORE M D

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