14D0646787 CLIA NUMBER - HENDERSON COUNTY HEALTH DEPARTMENT

Laboratory Demographics

  • CLIA Code: 14D0646787
  • Facility Name: HENDERSON COUNTY HEALTH DEPARTMENT
  • Facility Address: 208 WEST ELM STREET, P O BOX 220
    GLADSTONE, IL
    ZIP 61437
  • Facility Phone: 309 627-2812
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: ANGELA MYERS
  • NPI Number: 1821001595
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 14D0646787
LAB Type Community Clinic
Facility Name HENDERSON COUNTY HEALTH DEPARTMENT
Street 208 WEST ELM STREET, P O BOX 220
City GLADSTONE
State IL
ZIP 61437
Phone 309 627-2812
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Community Clinic
Lab Director ANGELA MYERS

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