14D0646952 CLIA NUMBER - FAYETTE COUNTY HEALTH DEPT

Laboratory Demographics

  • CLIA Code: 14D0646952
  • Facility Name: FAYETTE COUNTY HEALTH DEPT
  • Facility Address: 416 W EDWARDS ST ATTN ELIZABETH WASHBURN
    VANDALIA, IL
    ZIP 62471
  • Facility Phone: 618 283-1044
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: ALLISON J. SATTERTHWAITE
  • NPI Number: 1174523914
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 14D0646952
LAB Type Other
Facility Name FAYETTE COUNTY HEALTH DEPT
Street 416 W EDWARDS ST ATTN ELIZABETH WASHBURN
City VANDALIA
State IL
ZIP 62471
Phone 618 283-1044
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 Other
Lab Director ALLISON J. SATTERTHWAITE

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