14D2202499 CLIA NUMBER - GRANT COMMUNITY HIGH SCHOOL DISTRICT 124

Laboratory Demographics

  • CLIA Code: 14D2202499
  • Facility Name: GRANT COMMUNITY HIGH SCHOOL DISTRICT 124
  • Facility Address: 285 E GRAND AVE
    FOX LAKE, IL
    ZIP 60020
  • Facility Phone: 847 587-2561
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: CHERYL BENGSTON
  • NPI Number: 1629115027
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 14D2202499
LAB Type School/Student Health Service
Facility Name GRANT COMMUNITY HIGH SCHOOL DISTRICT 124
Street 285 E GRAND AVE
City FOX LAKE
State IL
ZIP 60020
Phone 847 587-2561
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/28/2024
Certificate Expiration Date 11/27/2026
Facility Type School/Student Health Service
Lab Director CHERYL BENGSTON

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