14D0646908 CLIA NUMBER - RANDOLPH COUNTY HEALTH DEPARTMENT

Laboratory Demographics

  • CLIA Code: 14D0646908
  • Facility Name: RANDOLPH COUNTY HEALTH DEPARTMENT
  • Facility Address: 2515 STATE STREET
    CHESTER, IL
    ZIP 62233
  • Facility Phone: 618 826-5007
  • Facility Type: Public Health Laboratories
  • Facility Type: Waiver
  • Lab Director: KRISTA MULHOLLAND
  • NPI Number: 1891937967
  • Taxonomy: 251K00000X - Public Health or Welfare

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D0646908
LAB Type Public Health Laboratories
Facility Name RANDOLPH COUNTY HEALTH DEPARTMENT
Street 2515 STATE STREET
City CHESTER
State IL
ZIP 62233
Phone 618 826-5007
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 Public Health Laboratories
Lab Director KRISTA MULHOLLAND

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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