14D2247422 CLIA NUMBER - POSEN-ROBBINS SD 143 5

Laboratory Demographics

CLIA Number: 14D2247422

Facility Name: POSEN-ROBBINS SD 143 5

Facility Address:
14011 HARRISON AVE
POSEN, IL
ZIP 60469
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Facility Phone Number: 708 388-7200

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1548305667

Taxonomy: 261QS1000X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	14D2247422
LAB Type	School/Student Health Service
Facility Name	POSEN-ROBBINS SD 143 5
Street	14011 HARRISON AVE
City	POSEN
State	IL
ZIP	60469
Phone	708 388-7200
CertificateType	4
CertificateEffectiveDate	1/6/2024
CertificateExpirationDate	1/5/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024