14D2300704 CLIA NUMBER - EFFINGHAM COUNTY JAIL

Laboratory Demographics

  • CLIA Code: 14D2300704
  • Facility Name: EFFINGHAM COUNTY JAIL
  • Facility Address: 104 N 4TH ST
    EFFINGHAM, IL
    ZIP 62401
  • Facility Phone: 217 342-3866
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: HEATHER WILSON
  • NPI Number: 1912903261
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 14D2300704
LAB Type Prison
Facility Name EFFINGHAM COUNTY JAIL
Street 104 N 4TH ST
City EFFINGHAM
State IL
ZIP 62401
Phone 217 342-3866
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2024
Certificate Expiration Date 3/13/2026
Facility Type Prison
Lab Director HEATHER WILSON

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