14D0430142 CLIA NUMBER - WINNEBAGO COUNTY HEALTH DEPARTMENT

Laboratory Demographics

  • CLIA Code: 14D0430142
  • Facility Name: WINNEBAGO COUNTY HEALTH DEPARTMENT
  • Facility Address: 555 N COURT ST
    ROCKFORD, IL
    ZIP 61103
  • Facility Phone: 815 720-4338
  • Facility Type: Public Health Laboratories
  • Facility Type: Microscopy
  • Lab Director: THOMAS M. SCHILLER M D
  • NPI Number: 1952887374
  • Taxonomy: 1223X0400X - Dentist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D0430142
LAB Type Public Health Laboratories
Facility Name WINNEBAGO COUNTY HEALTH DEPARTMENT
Street 555 N COURT ST
City ROCKFORD
State IL
ZIP 61103
Phone 815 720-4338
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 11/29/2023
Certificate Expiration Date 11/28/2025
Facility Type Public Health Laboratories
Lab Director THOMAS M. SCHILLER M D

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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