14D0876269 CLIA NUMBER - JEFFERSON COUNTY HEALTH DEPT

Laboratory Demographics

  • CLIA Code: 14D0876269
  • Facility Name: JEFFERSON COUNTY HEALTH DEPT
  • Facility Address: 4102 S WATER TOWER PLACE
    MOUNT VERNON, IL
    ZIP 62864
  • Facility Phone: 618 244-7134
  • Facility Type: Other - LOCAL HEALTH DEPT
  • Facility Type: Waiver
  • Lab Director: AMY HARRISON
  • NPI Number: 1235253907
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 14D0876269
LAB Type Other - LOCAL HEALTH DEPT
Facility Name JEFFERSON COUNTY HEALTH DEPT
Street 4102 S WATER TOWER PLACE
City MOUNT VERNON
State IL
ZIP 62864
Phone 618 244-7134
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/26/2025
Certificate Expiration Date 6/25/2027
Facility Type Other - LOCAL HEALTH DEPT
Lab Director AMY HARRISON

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