14D2210004 CLIA NUMBER - COMMUNITY CONSOLIDATED SCHOOLS DISTRICT 168

Laboratory Demographics

  • CLIA Code: 14D2210004
  • Facility Name: COMMUNITY CONSOLIDATED SCHOOLS DISTRICT 168
  • Facility Address: 21899 S TORRENCE AVE
    SAUK VILLAGE, IL
    ZIP 60411
  • Facility Phone: 708 758-1610
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: NEECIE C. HOSKINS
  • NPI Number: 1497956395
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 14D2210004
LAB Type School/Student Health Service
Facility Name COMMUNITY CONSOLIDATED SCHOOLS DISTRICT 168
Street 21899 S TORRENCE AVE
City SAUK VILLAGE
State IL
ZIP 60411
Phone 708 758-1610
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2025
Certificate Expiration Date 1/18/2027
Facility Type School/Student Health Service
Lab Director NEECIE C. HOSKINS

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