14D1061792 CLIA NUMBER - SINNISSIPPI CENTERS, INC

Laboratory Demographics

  • CLIA Code: 14D1061792
  • Facility Name: SINNISSIPPI CENTERS, INC
  • Facility Address: 325 IL ROUTE 2
    DIXON, IL
    ZIP 61021
  • Facility Phone: 815 284-6611
  • Facility Type: Other - COMM BEHAVIORAL HEALTH CL
  • Facility Type: Waiver
  • Lab Director: JAMES J. DALY
  • NPI Number: 1871042937
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D1061792
LAB Type Other - COMM BEHAVIORAL HEALTH CL
Facility Name SINNISSIPPI CENTERS, INC
Street 325 IL ROUTE 2
City DIXON
State IL
ZIP 61021
Phone 815 284-6611
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/28/2024
Certificate Expiration Date 11/27/2026
Facility Type Other - COMM BEHAVIORAL HEALTH CL
Lab Director JAMES J. DALY

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