14D2207134 CLIA NUMBER - BALL CHATHAM DIST/GLENWOOD INTERMEDIATE SCHOOL

Laboratory Demographics

  • CLIA Code: 14D2207134
  • Facility Name: BALL CHATHAM DIST/GLENWOOD INTERMEDIATE SCHOOL
  • Facility Address: 465 CHATHAM RD
    CHATHAM, IL
    ZIP 62629
  • Facility Phone: 217 483-2416
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: TINA HUBER
  • NPI Number: 1164523775
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 14D2207134
LAB Type School/Student Health Service
Facility Name BALL CHATHAM DIST/GLENWOOD INTERMEDIATE SCHOOL
Street 465 CHATHAM RD
City CHATHAM
State IL
ZIP 62629
Phone 217 483-2416
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2024
Certificate Expiration Date 12/22/2026
Facility Type School/Student Health Service
Lab Director TINA HUBER

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