14D2226577 CLIA NUMBER - VIENNA HIGH SCHOOL

Laboratory Demographics

  • CLIA Code: 14D2226577
  • Facility Name: VIENNA HIGH SCHOOL
  • Facility Address: 601 1ST NORTH ST
    VIENNA, IL
    ZIP 62995
  • Facility Phone: 618 658-3011
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: SHERIE S. SMITH
  • NPI Number: 1992976443
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 14D2226577
LAB Type School/Student Health Service
Facility Name VIENNA HIGH SCHOOL
Street 601 1ST NORTH ST
City VIENNA
State IL
ZIP 62995
Phone 618 658-3011
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2025
Certificate Expiration Date 6/1/2027
Facility Type School/Student Health Service
Lab Director SHERIE S. SMITH

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