14D1006819 CLIA NUMBER - EASTERN MARSHALL COUNTY EMS

Laboratory Demographics

  • CLIA Code: 14D1006819
  • Facility Name: EASTERN MARSHALL COUNTY EMS
  • Facility Address: 210 N CHESTNUT ST, P O BOX 708
    WENONA, IL
    ZIP 61377
  • Facility Phone: 815 853-0044
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: FRANCES MORRIS
  • NPI Number: 1376684738
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 14D1006819
LAB Type Federally Qualified Health Center
Facility Name EASTERN MARSHALL COUNTY EMS
Street 210 N CHESTNUT ST, P O BOX 708
City WENONA
State IL
ZIP 61377
Phone 815 853-0044
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2024
Certificate Expiration Date 12/1/2026
Facility Type Federally Qualified Health Center
Lab Director FRANCES MORRIS

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