14D2240340 CLIA NUMBER - SCALES MOUND SCHOOL DISTRICT 211

Laboratory Demographics

  • CLIA Code: 14D2240340
  • Facility Name: SCALES MOUND SCHOOL DISTRICT 211
  • Facility Address: 210 MAIN ST
    SCALES MOUND, IL
    ZIP 61075
  • Facility Phone: 815 845-2215
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: ANNIE J. TIMMERMAN
  • NPI Number: 1730358987
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 14D2240340
LAB Type School/Student Health Service
Facility Name SCALES MOUND SCHOOL DISTRICT 211
Street 210 MAIN ST
City SCALES MOUND
State IL
ZIP 61075
Phone 815 845-2215
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2025
Certificate Expiration Date 10/18/2027
Facility Type School/Student Health Service
Lab Director ANNIE J. TIMMERMAN

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