14D2223116 CLIA NUMBER - OAK GROVE SCHOOL

Laboratory Demographics

  • CLIA Code: 14D2223116
  • Facility Name: OAK GROVE SCHOOL
  • Facility Address: 1700 S OPLAIN RD
    GREEN OAKS, IL
    ZIP 60048
  • Facility Phone: 224 424-4728
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: CALLIE M. JOHNSON
  • NPI Number: 1710159991
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 14D2223116
LAB Type School/Student Health Service
Facility Name OAK GROVE SCHOOL
Street 1700 S OPLAIN RD
City GREEN OAKS
State IL
ZIP 60048
Phone 224 424-4728
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2024
Certificate Expiration Date 3/6/2026
Facility Type School/Student Health Service
Lab Director CALLIE M. JOHNSON

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