14D2215756 CLIA NUMBER - JOHNSTON CITY SCHOOL DISTRICT UNIT #1

Laboratory Demographics

  • CLIA Code: 14D2215756
  • Facility Name: JOHNSTON CITY SCHOOL DISTRICT UNIT #1
  • Facility Address: 200 E 12TH ST
    JOHNSTON CITY, IL
    ZIP 62951
  • Facility Phone: 618 983-8021
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: KATHY CLARK
  • NPI Number: 1831305028
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 14D2215756
LAB Type School/Student Health Service
Facility Name JOHNSTON CITY SCHOOL DISTRICT UNIT #1
Street 200 E 12TH ST
City JOHNSTON CITY
State IL
ZIP 62951
Phone 618 983-8021
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2025
Certificate Expiration Date 3/5/2027
Facility Type School/Student Health Service
Lab Director KATHY CLARK

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