14D0646871 CLIA NUMBER - GREENE COUNTY HEALTH DEPARTMENT

Laboratory Demographics

  • CLIA Code: 14D0646871
  • Facility Name: GREENE COUNTY HEALTH DEPARTMENT
  • Facility Address: 310 FIFTH STREET
    CARROLLTON, IL
    ZIP 62016
  • Facility Phone: 217 942-6961
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: MOLLY E. PETERS
  • NPI Number: 1225038169
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 14D0646871
LAB Type Other
Facility Name GREENE COUNTY HEALTH DEPARTMENT
Street 310 FIFTH STREET
City CARROLLTON
State IL
ZIP 62016
Phone 217 942-6961
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/24/2024
Certificate Expiration Date 10/23/2026
Facility Type Other
Lab Director MOLLY E. PETERS

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