14D2147435 CLIA NUMBER - BUREAU CO JAIL

Laboratory Demographics

  • CLIA Code: 14D2147435
  • Facility Name: BUREAU CO JAIL
  • Facility Address: 800 ACE RD
    PRINCETON, IL
    ZIP 61356
  • Facility Phone: 815 875-3344
  • Facility Type: Other - JAIL
  • Facility Type: Waiver
  • Lab Director: REBECCA GOSCH
  • NPI Number: 1912044223
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 14D2147435
LAB Type Other - JAIL
Facility Name BUREAU CO JAIL
Street 800 ACE RD
City PRINCETON
State IL
ZIP 61356
Phone 815 875-3344
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2024
Certificate Expiration Date 4/18/2026
Facility Type Other - JAIL
Lab Director REBECCA GOSCH

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