14D0915394 CLIA NUMBER - EDGAR COUNTY HEALTH DEPARTMENT

Laboratory Demographics

CLIA Number: 14D0915394

Facility Name: EDGAR COUNTY HEALTH DEPARTMENT

Facility Address:
502 SHAW AVE
PARIS, IL
ZIP 61944
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Facility Phone Number: 217 465-2212

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1386758126

Taxonomy: 341600000X - Ambulance
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).

CLIA Record

Field Name	Field Value
CLIA Number	14D0915394
LAB Type	Community Clinic
Facility Name	EDGAR COUNTY HEALTH DEPARTMENT
Street	502 SHAW AVE
City	PARIS
State	IL
ZIP	61944
Phone	217 465-2212
CertificateType	4
CertificateEffectiveDate	5/28/2022
CertificateExpirationDate	5/27/2024
FacilityType	Waiver

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