14D2080184 CLIA NUMBER - ABBCON COUNSELING

Laboratory Demographics

  • CLIA Code: 14D2080184
  • Facility Name: ABBCON COUNSELING
  • Facility Address: 201 N LOGAN - STE A
    MATTOON, IL
    ZIP 61938
  • Facility Phone: 217 317-2089
  • Facility Type: Other - SUBSTANCE ABUSE TRMT
  • Facility Type: Waiver
  • Lab Director: ASHLEY A. EPPERSON
  • NPI Number: 1487032769
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2080184
LAB Type Other - SUBSTANCE ABUSE TRMT
Facility Name ABBCON COUNSELING
Street 201 N LOGAN - STE A
City MATTOON
State IL
ZIP 61938
Phone 217 317-2089
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2024
Certificate Expiration Date 6/30/2026
Facility Type Other - SUBSTANCE ABUSE TRMT
Lab Director ASHLEY A. EPPERSON

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