14D0714033 CLIA NUMBER - CUMBERLAND COUNTY HEALTH DEPARTMENT

Laboratory Demographics

  • CLIA Code: 14D0714033
  • Facility Name: CUMBERLAND COUNTY HEALTH DEPARTMENT
  • Facility Address: 200 S INDIANA ST
    TOLEDO, IL
    ZIP 62468
  • Facility Phone: 217 849-3211
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: CRYSTAL INGRAM
  • NPI Number: 1063446938
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 14D0714033
LAB Type Home Health Agency
Facility Name CUMBERLAND COUNTY HEALTH DEPARTMENT
Street 200 S INDIANA ST
City TOLEDO
State IL
ZIP 62468
Phone 217 849-3211
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 Home Health Agency
Lab Director CRYSTAL INGRAM

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