14D2237406 CLIA NUMBER - PONTIAC CCSD 429

Laboratory Demographics

  • CLIA Code: 14D2237406
  • Facility Name: PONTIAC CCSD 429
  • Facility Address: 600 N MORROW ST
    PONTIAC, IL
    ZIP 61764
  • Facility Phone: 815 844-5448
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: CARRIE CLODI
  • NPI Number: 1285759019
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 14D2237406
LAB Type School/Student Health Service
Facility Name PONTIAC CCSD 429
Street 600 N MORROW ST
City PONTIAC
State IL
ZIP 61764
Phone 815 844-5448
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2025
Certificate Expiration Date 9/23/2027
Facility Type School/Student Health Service
Lab Director CARRIE CLODI

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