14D2091313 CLIA NUMBER - HEARTLAND HUMAN SERVICES

Laboratory Demographics

  • CLIA Code: 14D2091313
  • Facility Name: HEARTLAND HUMAN SERVICES
  • Facility Address: 1200 NORTH 4TH ST
    EFFINGHAM, IL
    ZIP 62401
  • Facility Phone: 217 347-7179
  • Facility Type: Other - COMMTY MENTAL HLTH AGENCY
  • Facility Type: Waiver
  • Lab Director: AFTHAN REENTS
  • NPI Number: 1376543520
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2091313
LAB Type Other - COMMTY MENTAL HLTH AGENCY
Facility Name HEARTLAND HUMAN SERVICES
Street 1200 NORTH 4TH ST
City EFFINGHAM
State IL
ZIP 62401
Phone 217 347-7179
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2025
Certificate Expiration Date 2/9/2027
Facility Type Other - COMMTY MENTAL HLTH AGENCY
Lab Director AFTHAN REENTS

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