14D0663676 CLIA NUMBER - CHRISTIAN CO DEPT OF PUBLIC HEALTH/WIC

Laboratory Demographics

CLIA Number: 14D0663676

Facility Name: CHRISTIAN CO DEPT OF PUBLIC HEALTH/WIC

Facility Address:
902 W SPRINGFIELD RD
TAYLORVILLE, IL
ZIP 62568
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Facility Phone Number: 217 824-4113

Facility Type: Public Health Laboratories

Certificate Type: Waiver

NPI Number: 1043729841

Taxonomy: 174H00000X - Health Educator
Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor's degree and may receive additional training, such as through mentoring, internships, or volunteer work.

CLIA Record

Field Name	Field Value
CLIA Number	14D0663676
LAB Type	Public Health Laboratories
Facility Name	CHRISTIAN CO DEPT OF PUBLIC HEALTH/WIC
Street	902 W SPRINGFIELD RD
City	TAYLORVILLE
State	IL
ZIP	62568
Phone	217 824-4113
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024