14D2234997 CLIA NUMBER - SOUTHWESTERN CUSD #9

Laboratory Demographics

  • CLIA Code: 14D2234997
  • Facility Name: SOUTHWESTERN CUSD #9
  • Facility Address: 201 E CITY LIMITS RD
    BRIGHTON, IL
    ZIP 62012
  • Facility Phone: 618 372-3813
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: KYLE M. HACKE
  • NPI Number: 1801008982
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 14D2234997
LAB Type School/Student Health Service
Facility Name SOUTHWESTERN CUSD #9
Street 201 E CITY LIMITS RD
City BRIGHTON
State IL
ZIP 62012
Phone 618 372-3813
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/3/2025
Certificate Expiration Date 9/2/2027
Facility Type School/Student Health Service
Lab Director KYLE M. HACKE

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