14D0888031 CLIA NUMBER - WASHINGTON COUNTY HEALTH DEPARTMENT

Laboratory Demographics

  • CLIA Code: 14D0888031
  • Facility Name: WASHINGTON COUNTY HEALTH DEPARTMENT
  • Facility Address: 177 SOUTH WASHINGTON STREET
    NASHVILLE, IL
    ZIP 62263
  • Facility Phone: 618 327-3644
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: SHARON S. FREDERKING
  • NPI Number: 1528130150
  • Taxonomy: 261QP0905X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D0888031
LAB Type Other
Facility Name WASHINGTON COUNTY HEALTH DEPARTMENT
Street 177 SOUTH WASHINGTON STREET
City NASHVILLE
State IL
ZIP 62263
Phone 618 327-3644
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2024
Certificate Expiration Date 6/21/2026
Facility Type Other
Lab Director SHARON S. FREDERKING

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