14D2080289 CLIA NUMBER - FORD COUNTY PUBLIC HEALTH DEPARTMENT

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Laboratory Demographics

CLIA Number: 14D2080289

Facility Name: FORD COUNTY PUBLIC HEALTH DEPARTMENT

Facility Address:
235 N TAFT ST
PAXTON, IL
ZIP 60957
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Facility Phone Number: 217 379-9281

Facility Type: Other - PUBLIC HEALTH DEPT

Certificate Type: Waiver

NPI Number: 1720490436

Taxonomy: 251K00000X - Public Health or Welfare

CLIA Record

Field Name	Field Value
CLIA Number	14D2080289
LAB Type	Other - PUBLIC HEALTH DEPT
Facility Name	FORD COUNTY PUBLIC HEALTH DEPARTMENT
Street	235 N TAFT ST
City	PAXTON
State	IL
ZIP	60957
Phone	217 379-9281
CertificateType	4
CertificateEffectiveDate	7/3/2022
CertificateExpirationDate	7/2/2024
FacilityType	Waiver

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