14D1048878 CLIA NUMBER - MCLEAN COUNTY DETENTION FACILITY

Laboratory Demographics

  • CLIA Code: 14D1048878
  • Facility Name: MCLEAN COUNTY DETENTION FACILITY
  • Facility Address: LAW AND JUSTICE CENTER 104 W FRONT
    BLOOMINGTON, IL
    ZIP 61701
  • Facility Phone: 309 888-5934
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: JOAN NAOUR
  • NPI Number: 1265684237
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 14D1048878
LAB Type Other
Facility Name MCLEAN COUNTY DETENTION FACILITY
Street LAW AND JUSTICE CENTER 104 W FRONT
City BLOOMINGTON
State IL
ZIP 61701
Phone 309 888-5934
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2023
Certificate Expiration Date 12/13/2025
Facility Type Other
Lab Director JOAN NAOUR

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