14D1001789 CLIA NUMBER - SCOTT COUNTY HEALTH DEPARTMENT

Laboratory Demographics

  • CLIA Code: 14D1001789
  • Facility Name: SCOTT COUNTY HEALTH DEPARTMENT
  • Facility Address: 335 W CHERRY
    WINCHESTER, IL
    ZIP 62694
  • Facility Phone: 217 742-8203
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: ANGELA R. HOOTS
  • NPI Number: 1730361288
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 14D1001789
LAB Type Ambulance
Facility Name SCOTT COUNTY HEALTH DEPARTMENT
Street 335 W CHERRY
City WINCHESTER
State IL
ZIP 62694
Phone 217 742-8203
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2024
Certificate Expiration Date 7/21/2026
Facility Type Ambulance
Lab Director ANGELA R. HOOTS

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