14D0663077 CLIA NUMBER - LOGAN COUNTY DEPARTMENT OF PUBLIC HEALTH

Laboratory Demographics

  • CLIA Code: 14D0663077
  • Facility Name: LOGAN COUNTY DEPARTMENT OF PUBLIC HEALTH
  • Facility Address: 109 THIRD STREET
    LINCOLN, IL
    ZIP 62656
  • Facility Phone: 217 735-2317
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DONALD A. CAVI
  • NPI Number: 1073762290
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 14D0663077
LAB Type Other
Facility Name LOGAN COUNTY DEPARTMENT OF PUBLIC HEALTH
Street 109 THIRD STREET
City LINCOLN
State IL
ZIP 62656
Phone 217 735-2317
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 DONALD A. CAVI

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