14D2166846 CLIA NUMBER - WHITE COUNTY JAIL

Laboratory Demographics

CLIA Number: 14D2166846

Facility Name: WHITE COUNTY JAIL

Facility Address:
108 N MAIN CROSS
CARMI, IL
ZIP 62821
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Facility Phone Number: 618 382-5321

Facility Type: Other - JAIL

Certificate Type: Waiver

NPI Number: 1891240842

Taxonomy: 341600000X - Ambulance
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).

CLIA Record

Field Name	Field Value
CLIA Number	14D2166846
LAB Type	Other - JAIL
Facility Name	WHITE COUNTY JAIL
Street	108 N MAIN CROSS
City	CARMI
State	IL
ZIP	62821
Phone	618 382-5321
CertificateType	4
CertificateEffectiveDate	5/28/2023
CertificateExpirationDate	5/27/2025
FacilityType	Waiver

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