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CHRISTIE CLINIC, LLC
NPI 1063093771
Durable Medical Equipment & Medical Supplies in Saint Joseph, IL

Active since April 15, 2021CLIA Certified · 6 labs
204 N MAIN ST STE 203, SAINT JOSEPH, IL 61873(217) 469-2390 Get Directions Write a Review

NPPES record last updated: April 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Christie Clinic, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTIE CLINIC, LLC (NPI 1063093771) is a healthcare organization registered as a durable medical equipment & medical supplies in Saint Joseph, Illinois and active in the NPI registry since April 2021. The organization holds 6 active CLIA laboratory certificates and lists William Pierce, Cmo, as its authorized official.

NPPES Registry Identity

NPI1063093771
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameCHRISTIE CLINIC, LLC
Location Address204 N MAIN ST STE 203Saint Joseph, IL 61873-9355
Mailing Address101 W University AveChampaign, IL 61820-3981 · (217) 366-8107
Phone(217) 469-2390
Organization SubpartNo
Authorized OfficialWilliam PierceCmo · (217) 366-8107
Enumeration DateApril 15, 2021
NPPES CertifiedApril 15, 2021
✔ NPI 1063093771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

204 N MAIN ST STE 203, Saint Joseph, IL 61873
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Other Names 1

Doing Business AsChristie Clinic, Llc

CLIA Laboratory Certificates CMS CLIA 7

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2084909

Christie Clinic - St J · Saint Joseph, IL
Active · expires Jul 14, 2027
CLIA Number14D2084909
Laboratory TypeMultispecialty Clinic
Certificate Effective DateJuly 15, 2025
Certificate Expiration DateJuly 14, 2027
Laboratory DirectorJennifer Wroblewski
Laboratory Phone(217) 469-2390
Laboratory LocationChristie Clinic - St J204 N Main St, Ste 203, Saint Joseph, IL 61873
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D2322287

Christie Clinic - Clinical Research · Champaign, IL
Active · expires Apr 16, 2027
CLIA Number14D2322287
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateApril 17, 2025
Certificate Expiration DateApril 16, 2027
Laboratory DirectorAndrew Bartlett
Laboratory Phone(217) 366-8056
Laboratory LocationChristie Clinic - Clinical Research101 W University Ave, Champaign, IL 61820
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 14D0647011

Christie Clinic At University Laboratory · Champaign, IL
Active · expires Feb 27, 2027
CLIA Number14D0647011
Laboratory TypeCommunity Clinic
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. Krishna M. Irrinki
Laboratory Phone(217) 351-1281
Laboratory LocationChristie Clinic At University Laboratory101 W University Ave, Champaign, IL 61820
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Compliance 14D0869736

Christie Clinic Dermatology · Champaign, IL
Active · expires Feb 21, 2027
CLIA Number14D0869736
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateFebruary 22, 2025
Certificate Expiration DateFebruary 21, 2027
Laboratory DirectorKathryn L. Lane
Laboratory Phone(217) 366-1248
Laboratory LocationChristie Clinic Dermatology101 W University Ave, Champaign, IL 61820
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 14D1078371

Christie Clinic Spine & Pain Management · Champaign, IL
Active · expires May 29, 2027
CLIA Number14D1078371
Laboratory TypePhysician Office
Certificate Effective DateMay 30, 2025
Certificate Expiration DateMay 29, 2027
Laboratory DirectorSara E. James
Laboratory Phone(217) 366-5027
Laboratory LocationChristie Clinic Spine & Pain Management101 West Universisty Ave, Champaign, IL 61820
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D2190653

Christie Clinic · Champaign, IL
Active · expires Aug 17, 2026
CLIA Number14D2190653
Laboratory TypePhysician Office
Certificate Effective DateAugust 18, 2024
Certificate Expiration DateAugust 17, 2026
Laboratory DirectorSteven J. Damore M D
Laboratory Phone(217) 366-5180
Laboratory LocationChristie Clinic109 W University Ave, Champaign, IL 61820
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christie Clinic, LLC's NPI number?

The NPI number for Christie Clinic, LLC is 1063093771. It was assigned to this organization in the NPPES registry on April 15, 2021.

Where is Christie Clinic, LLC located?

Christie Clinic, LLC is located at 204 N Main St Ste 203, Saint Joseph, IL 61873. The listed phone number is (217) 469-2390.

What is Christie Clinic, LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Christie Clinic, LLC hold CLIA laboratory certificates?

Yes. 6 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Christie Clinic, LLC was last updated on April 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.