14D2259383 CLIA NUMBER - CHARLESTON FAMILY PLANNING CENTER

Laboratory Demographics

  • CLIA Code: 14D2259383
  • Facility Name: CHARLESTON FAMILY PLANNING CENTER
  • Facility Address: 618 W LINCOLN AVE
    CHARLESTON, IL
    ZIP 61920
  • Facility Phone: 217 247-9151
  • Facility Type: Practitioner Other
  • Facility Type: Microscopy
  • Lab Director: JOSEPH BAUMGART
  • NPI Number: 1609972165
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 14D2259383
LAB Type Practitioner Other
Facility Name CHARLESTON FAMILY PLANNING CENTER
Street 618 W LINCOLN AVE
City CHARLESTON
State IL
ZIP 61920
Phone 217 247-9151
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/5/2024
Certificate Expiration Date 5/4/2026
Facility Type Practitioner Other
Lab Director JOSEPH BAUMGART

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