14D2205123 CLIA NUMBER - SPOON RIVER VALLEY CUSD 4

Laboratory Demographics

  • CLIA Code: 14D2205123
  • Facility Name: SPOON RIVER VALLEY CUSD 4
  • Facility Address: 35265 N IL HWY 97
    LONDON MILLS, IL
    ZIP 61544
  • Facility Phone: 309 778-2204
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER D. JANSSEN
  • NPI Number: 1346442852
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 14D2205123
LAB Type School/Student Health Service
Facility Name SPOON RIVER VALLEY CUSD 4
Street 35265 N IL HWY 97
City LONDON MILLS
State IL
ZIP 61544
Phone 309 778-2204
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2024
Certificate Expiration Date 12/11/2026
Facility Type School/Student Health Service
Lab Director CHRISTOPHER D. JANSSEN

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