14D0667687 CLIA NUMBER - MCLEAN COUNTY HEALTH DEPARTMENT

Laboratory Demographics

CLIA Number: 14D0667687

Facility Name: MCLEAN COUNTY HEALTH DEPARTMENT

Facility Address:
200 W FRONT ST
BLOOMINGTON, IL
ZIP 61701
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Facility Phone Number: 309 888-5450

Facility Type: Public Health Laboratories

Certificate Type: Waiver

NPI Number: 1265684237

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name	Field Value
CLIA Number	14D0667687
LAB Type	Public Health Laboratories
Facility Name	MCLEAN COUNTY HEALTH DEPARTMENT
Street	200 W FRONT ST
City	BLOOMINGTON
State	IL
ZIP	61701
Phone	309 888-5450
CertificateType	4
CertificateEffectiveDate	2/1/2024
CertificateExpirationDate	1/31/2026
FacilityType	Waiver

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