14D2155155 CLIA NUMBER - WABASH GENERAL HOSPITAL DISTRICT

Laboratory Demographics

  • CLIA Code: 14D2155155
  • Facility Name: WABASH GENERAL HOSPITAL DISTRICT
  • Facility Address: 26 E ELM ST
    ALBION, IL
    ZIP 62806
  • Facility Phone: 618 445-8170
  • Facility Type: Rural Health Clinic
  • Facility Type: Microscopy
  • Lab Director: LEVI T. MCDANIEL M D
  • NPI Number: 1689148892
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2155155
LAB Type Rural Health Clinic
Facility Name WABASH GENERAL HOSPITAL DISTRICT
Street 26 E ELM ST
City ALBION
State IL
ZIP 62806
Phone 618 445-8170
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/25/2024
Certificate Expiration Date 9/24/2026
Facility Type Rural Health Clinic
Lab Director LEVI T. MCDANIEL M D

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