LABORATORY CORPORATION OF AMERICA
NPI 1205323763
Clinical Medical Laboratory in Carbondale, IL

NPI Status: Active since April 19, 2018

Contact Information

400 S LEWIS LN
CARBONDALE, IL
ZIP 62901
Phone: (618) 351-0016
Fax: (618) 351-0025

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  • Organization
  • Clinical Medical Laboratory
  • Accepts Insurance
  • CLIA Number: 14D2146326
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-26-2026

About LABORATORY CORPORATION OF AMERICA

This page provides the complete NPI Profile along with additional information for Laboratory Corporation Of America, a provider established in Carbondale, Illinois operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1205323763 assigned on April 2018. The practitioner's primary taxonomy code is 291U00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Kimberly T Williams (Vice President)

NPI
1205323763
Provider Name
LABORATORY CORPORATION OF AMERICA
Entity Type
Organization
Location Address
400 S LEWIS LN CARBONDALE, IL 62901
Location Phone
(618) 351-0016
Location Fax
(618) 351-0025
Mailing Address
PO BOX 2240 BURLINGTON, NC 27216
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-19-2018
Last Update Date
05-15-2018
Code Navigator

Establishments like Laboratory Corporation Of America are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.

Clinical labs in the U.S. that perform human testing are regulated by the Centers for Medicare & Medicaid Services (CMS) through the Clinical Laboratory Improvement Amendments (CLIA) program. The purpose of the CLIA program is to guarantee the quality of laboratory testing. This provider has a CLIA number assigned, and undergoes regular inspections to ensure compliance and quality.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Medical Laboratory

Taxonomy Code
291U00000X
Type
Laboratories
Taxonomy Description
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Choice Preferred Bronze PPO? 201 - PPO
  • Blue Choice Preferred Bronze PPO? 701 - PPO
  • Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
  • Blue Choice Preferred Gold PPO? 204 - PPO
  • Blue Choice Preferred Gold PPO? 901 - PPO
  • Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
  • Blue Choice Preferred Security PPO? 200 - PPO
  • Blue Choice Preferred Silver PPO? 203 - PPO
  • Blue Choice Preferred Silver PPO? 801 - PPO
  • Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS
  • Bronze First 7500 $25 Generic Drugs - HMO
  • Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
  • Core Gold 1500 $10 Generic Drugs - HMO
  • Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Gold 1500 $15 Generic Drugs - HMO
  • Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
  • Connect Bronze 0 Indiv Med Deductible - EPO
  • Connect Bronze 3500 Indiv Med Deductible Enhanced Diabetes Care - EPO
  • Connect Bronze 5500 Indiv Med Deductible - EPO
  • Connect Bronze 5500 Indiv Med Deductible - HMO
  • Connect Bronze 6000 Indiv Med Deductible - HMO
  • Connect Bronze 6500 Indiv Med Deductible - HMO
  • Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care - EPO
  • Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care - HMO
  • Connect Bronze 7500 Indiv Med Deductible - EPO
  • Connect Bronze 8500 Indiv Med Deductible - EPO
  • Connect Bronze 6800 Indiv Med Deductible - HMO
  • Connect Bronze 8900 Indiv Med Deductible - HMO
  • Connect Bronze CMS Standard - HMO
  • Connect Gold 2500 Indiv Med Deductible - HMO
  • Connect Gold CMS Standard - HMO
  • Connect Silver 4000 Indiv Med Deductible - HMO
  • Connect Silver 5000 Indiv Med Deductible - HMO
  • Connect Silver CMS Standard - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KIMBERLY T WILLIAMS

Authorized Official Title
VICE PRESIDENT
Authorized Official Phone
(800) 222-7566

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
14D2146324OTHER (01)CLIA

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Urinalysis, manual test

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

This service was performed 81 times for 67 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
14D2146326
Facility Type
Physician Office
Certificate Effective Date
March 27, 2024
Certificate Expiration Date
March 26, 2026
Laboratory Director
DEBORAH STORJOHANN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Laboratory Corporation Of America to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for LABORATORY CORPORATION OF AMERICA

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1205323763
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2205626712
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 6 + 2 + 6 + 7 + 1 + 2 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1205323763 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 16 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1629248406 KELLY A BUSHUR CP PH.D
Individual
Psychologist (Clinical)400 S LEWIS LN
CARBONDALE, IL 62901
(618) 519-9900
1356677884 MICHAEL ROHLING MS, LCPC
Individual
Counselor (Mental Health)400 S LEWIS LN
CARBONDALE, IL 62901
(618) 519-9900
1922281054 JENNIFER N HOEY LCPC
Individual
Counselor (Professional)400 S LEWIS LN
CARBONDALE, IL 62901
(618) 519-9900
1013210194 POORVA TALAPATRA M.ED., LCPC
Individual
Counselor (Mental Health)400 S LEWIS LN
CARBONDALE, IL 62901
(618) 519-9900
1801952775MS. MARY C LYONS PA
Individual
Physician Assistant400 S LEWIS LN
CARBONDALE, IL 62901
(618) 519-9901
1184095622MRS. SARA HOYLE PA-C
Individual
Physician Assistant400 S LEWIS LN
CARBONDALE, IL 62901
(618) 519-9900
1629629357SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
Organization
Clinic/Center (Methadone)400 S LEWIS LN
CARBONDALE, IL 62901
(618) 519-9200
1982801742DR. ANNA MARIE LITTLE MD
Individual
Pediatrics400 S LEWIS LN
CARBONDALE, IL 62901
(618) 519-9900
1801201538 TASMEER HASSAN MD
Individual
Family Medicine400 S LEWIS LN
CARBONDALE, IL 62901
(618) 519-9200
1780134130 CHRISTINA TRAPP
Individual
Physician Assistant400 S LEWIS LN
CARBONDALE, IL 62901
(618) 519-9200
1528478559DR. RENEE BARNES FEATHER MD
Individual
Family Medicine400 S LEWIS LN
CARBONDALE, IL 62901
(618) 519-9200
1205411204 MCKENZIE BONIFIELD
Individual
Nurse Practitioner (Family)400 S LEWIS LN
CARBONDALE, IL 62901
(618) 519-9200
1457722910MR. ETHAN WESHINSKEY PA-C
Individual
Physician Assistant400 S LEWIS LN
CARBONDALE, IL 62901
(618) 519-9200
1326525668 TIFFANY D ALLEN LCPC
Individual
Counselor (Mental Health)400 S LEWIS LN
CARBONDALE, IL 62901
(618) 519-9200
1073745345SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))400 S LEWIS LN
CARBONDALE, IL 62901
(618) 519-9900
1659423184 DEBRA RENEE QUEEN R.D.
Individual
Dietitian, Registered400 S LEWIS LN
CARBONDALE, IL 62901
(618) 519-9200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205323763, enumerated in the NPI registry as an "organization" on April 19, 2018

The provider is located at 400 S Lewis Ln Carbondale, Il 62901 and the phone number is (618) 351-0016

This medical organization specializes in Clinical Medical Laboratory with taxonomy code 291U00000X

The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Blue Cross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The most common procedures or services performed by this practitioner are: Urinalysis, manual test.

The provider's CLIA number is 14D2146326 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on April 19, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.