11D2291059 CLIA NUMBER - JEFFERSON COUNTY BOARD OF EDUCATION

Laboratory Demographics

CLIA Number: 11D2291059

Facility Name: JEFFERSON COUNTY BOARD OF EDUCATION

Facility Address:
1001 PEACHTREE STREET
LOUISVILLE, GA
ZIP 30434
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Facility Phone Number: 478 625-7626

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1659434678

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	11D2291059
LAB Type	School/Student Health Service
Facility Name	JEFFERSON COUNTY BOARD OF EDUCATION
Street	1001 PEACHTREE STREET
City	LOUISVILLE
State	GA
ZIP	30434
Phone	478 625-7626
CertificateType	4
CertificateEffectiveDate	10/4/2023
CertificateExpirationDate	10/3/2025
FacilityType	Waiver

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