14D2279548 CLIA NUMBER - EQUITY CLINIC S C

Laboratory Demographics

  • CLIA Code: 14D2279548
  • Facility Name: EQUITY CLINIC S C
  • Facility Address: 2111 W PARK COURT
    CHAMPAIGN, IL
    ZIP 61821
  • Facility Phone: 224 350-2973
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: KEITH M. REISINGER-KINDLE
  • NPI Number: 1578275335
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 14D2279548
LAB Type Physician Office
Facility Name EQUITY CLINIC S C
Street 2111 W PARK COURT
City CHAMPAIGN
State IL
ZIP 61821
Phone 224 350-2973
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/2/2024
Certificate Expiration Date 12/1/2026
Facility Type Physician Office
Lab Director KEITH M. REISINGER-KINDLE

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