14D2241258 CLIA NUMBER - O'FALLON TWP HIGH SCHOOL

Laboratory Demographics

  • CLIA Code: 14D2241258
  • Facility Name: O'FALLON TWP HIGH SCHOOL
  • Facility Address: 600 S SMILEY ST
    O FALLON, IL
    ZIP 62269
  • Facility Phone: 619 632-3507
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: DARCY BENWAY
  • NPI Number: 1225690001
  • Taxonomy: 1041C0700X - Social Worker

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CLIA Record

Field Name Field Value
CLIA Number 14D2241258
LAB Type School/Student Health Service
Facility Name O'FALLON TWP HIGH SCHOOL
Street 600 S SMILEY ST
City O FALLON
State IL
ZIP 62269
Phone 619 632-3507
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type School/Student Health Service
Lab Director DARCY BENWAY

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