14D2090498 CLIA NUMBER - COMMUNITY RESOURCE CENTER

Laboratory Demographics

  • CLIA Code: 14D2090498
  • Facility Name: COMMUNITY RESOURCE CENTER
  • Facility Address: 315 WESTGATE
    SALEM, IL
    ZIP 62881
  • Facility Phone: (618) 548-2181
  • Facility Type: Other - OUTPT SUBSTANCE ABUSE CTR
  • Facility Type: Waiver
  • Lab Director: GEORGIANNE BROUGHTON
  • NPI Number: 1770718439
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2090498
LAB Type Other - OUTPT SUBSTANCE ABUSE CTR
Facility Name COMMUNITY RESOURCE CENTER
Street 315 WESTGATE
City SALEM
State IL
ZIP 62881
Phone 6185482181
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2025
Certificate Expiration Date 1/25/2027
Facility Type Other - OUTPT SUBSTANCE ABUSE CTR
Lab Director GEORGIANNE BROUGHTON

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This page was last updated on: 5/18/2026