14D2218623 CLIA NUMBER - WETHERSFIELD CUSD #230

Laboratory Demographics

  • CLIA Code: 14D2218623
  • Facility Name: WETHERSFIELD CUSD #230
  • Facility Address: 439 WILLIARD ST
    KEWANEE, IL
    ZIP 61443
  • Facility Phone: 309 853-4860
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: SHANE J. KAZUBOWSKI
  • NPI Number: 1003018565
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 14D2218623
LAB Type School/Student Health Service
Facility Name WETHERSFIELD CUSD #230
Street 439 WILLIARD ST
City KEWANEE
State IL
ZIP 61443
Phone 309 853-4860
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2025
Certificate Expiration Date 3/29/2027
Facility Type School/Student Health Service
Lab Director SHANE J. KAZUBOWSKI

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This page was last updated on: 6/4/2025