14D0663290 CLIA NUMBER - EFFINGHAM COUNTY HEALTH DEPARTMENT

Laboratory Demographics

  • CLIA Code: 14D0663290
  • Facility Name: EFFINGHAM COUNTY HEALTH DEPARTMENT
  • Facility Address: 901 W VIRGINIA AVE - BOX 685
    EFFINGHAM, IL
    ZIP 62401
  • Facility Phone: 217 342-9237
  • Facility Type: Other - LOCAL HEALTH DEPARTMETN
  • Facility Type: Waiver
  • Lab Director: DAN NIEBRUGGE
  • NPI Number: 1508906991
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0663290
LAB Type Other - LOCAL HEALTH DEPARTMETN
Facility Name EFFINGHAM COUNTY HEALTH DEPARTMENT
Street 901 W VIRGINIA AVE - BOX 685
City EFFINGHAM
State IL
ZIP 62401
Phone 217 342-9237
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 - LOCAL HEALTH DEPARTMETN
Lab Director DAN NIEBRUGGE

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