14D2004201 CLIA NUMBER - LOGAN CO JAIL

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Laboratory Demographics

CLIA Number: 14D2004201

Facility Name: LOGAN CO JAIL

Facility Address:
911 PEKIN STREET
LINCOLN, IL
ZIP 62656
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Facility Phone Number: 217 735-2610

Facility Type: Other - COUNTY JAIL

Certificate Type: Waiver

NPI Number: 1073506283

Taxonomy: 341600000X - Ambulance
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).

CLIA Record

Field Name	Field Value
CLIA Number	14D2004201
LAB Type	Other - COUNTY JAIL
Facility Name	LOGAN CO JAIL
Street	911 PEKIN STREET
City	LINCOLN
State	IL
ZIP	62656
Phone	217 735-2610
CertificateType	4
CertificateEffectiveDate	3/1/2024
CertificateExpirationDate	2/28/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024