14D2210072 CLIA NUMBER - CHANNAHON SCHOOL DISTRICT 17

Laboratory Demographics

  • CLIA Code: 14D2210072
  • Facility Name: CHANNAHON SCHOOL DISTRICT 17
  • Facility Address: 24920 S SAGE ST
    CHANNAHON, IL
    ZIP 60410
  • Facility Phone: 815 467-4315
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: NICHOLAS M. HENKLE
  • NPI Number: 1437328853
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 14D2210072
LAB Type School/Student Health Service
Facility Name CHANNAHON SCHOOL DISTRICT 17
Street 24920 S SAGE ST
City CHANNAHON
State IL
ZIP 60410
Phone 815 467-4315
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 NICHOLAS M. HENKLE

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