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04D2203976 CLIA NUMBER - HACKETT SCHOOL DISTRICT

Laboratory Demographics

CLIA Number: 04D2203976

Facility Name: HACKETT SCHOOL DISTRICT

Facility Address:
102 OAK STREET
HACKETT, AR
ZIP 72937
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Facility Phone Number: 479 638-8822

Facility Type: School/Student Health Service

Certificate Type: Waiver
NPI Number: 1285094573

Taxonomy: 251300000X - Local Education Agency (LEA)
The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy.

CLIA Record

Field Name Field Value
CLIA Number 04D2203976
LAB Type School/Student Health Service
Facility Name HACKETT SCHOOL DISTRICT
Street 102 OAK STREET
City HACKETT
State AR
ZIP 72937
Phone 479 638-8822
CertificateType 4
CertificateEffectiveDate 12/7/2022
CertificateExpirationDate 12/6/2024
FacilityType Waiver

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