14D2205545 CLIA NUMBER - RANTOUL CITY SCHOOLS #137

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Laboratory Demographics

CLIA Number: 14D2205545

Facility Name: RANTOUL CITY SCHOOLS #137

Facility Address:
400 E WABASH AVE
RANTOUL, IL
ZIP 61866
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Facility Phone Number: 217 893-5400

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1003031840

Taxonomy: 261QS1000X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D2205545
LAB Type	School/Student Health Service
Facility Name	RANTOUL CITY SCHOOLS #137
Street	400 E WABASH AVE
City	RANTOUL
State	IL
ZIP	61866
Phone	217 893-5400
CertificateType	4
CertificateEffectiveDate	12/15/2022
CertificateExpirationDate	12/14/2024
FacilityType	Waiver

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