14D2238531 CLIA NUMBER - DU QUOIN COMMUNITY UNIT SCHOOL DISTRICT 300

Laboratory Demographics

  • CLIA Code: 14D2238531
  • Facility Name: DU QUOIN COMMUNITY UNIT SCHOOL DISTRICT 300
  • Facility Address: 845 E JACKSON ST
    DU QUOIN, IL
    ZIP 62832
  • Facility Phone: 618 542-3856
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: MATTHEW T. HICKAM
  • NPI Number: 1154592780
  • Taxonomy: 261QS1000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2238531
LAB Type School/Student Health Service
Facility Name DU QUOIN COMMUNITY UNIT SCHOOL DISTRICT 300
Street 845 E JACKSON ST
City DU QUOIN
State IL
ZIP 62832
Phone 618 542-3856
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2023
Certificate Expiration Date 10/4/2025
Facility Type School/Student Health Service
Lab Director MATTHEW T. HICKAM

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