14D0929337 CLIA NUMBER - CLINTON COUNTY HEALTH DEPARTMENT

Laboratory Demographics

  • CLIA Code: 14D0929337
  • Facility Name: CLINTON COUNTY HEALTH DEPARTMENT
  • Facility Address: 991 FRANKLIN ST
    CARLYLE, IL
    ZIP 62231
  • Facility Phone: 618 594-2723
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: BRIAN KLOSTERMANN
  • NPI Number: 1700814704
  • Taxonomy: 163WC1500X - Registered Nurse

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CLIA Record

Field Name Field Value
CLIA Number 14D0929337
LAB Type Federally Qualified Health Center
Facility Name CLINTON COUNTY HEALTH DEPARTMENT
Street 991 FRANKLIN ST
City CARLYLE
State IL
ZIP 62231
Phone 618 594-2723
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2025
Certificate Expiration Date 6/10/2027
Facility Type Federally Qualified Health Center
Lab Director BRIAN KLOSTERMANN

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