14D0672768 CLIA NUMBER - COLES COUNTY HEALTH DEPARTMENT

Laboratory Demographics

  • CLIA Code: 14D0672768
  • Facility Name: COLES COUNTY HEALTH DEPARTMENT
  • Facility Address: 753 WINDSOR RD
    CHARLESTON, IL
    ZIP 61920
  • Facility Phone: 217 348-0530
  • Facility Type: Other - LOCAL HEALTH DEPT
  • Facility Type: Waiver
  • Lab Director: BERNIE RANCHERO MD
  • NPI Number: 1407039761
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 14D0672768
LAB Type Other - LOCAL HEALTH DEPT
Facility Name COLES COUNTY HEALTH DEPARTMENT
Street 753 WINDSOR RD
City CHARLESTON
State IL
ZIP 61920
Phone 217 348-0530
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2025
Certificate Expiration Date 1/18/2027
Facility Type Other - LOCAL HEALTH DEPT
Lab Director BERNIE RANCHERO MD

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