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14D2199649 CLIA NUMBER - MARSHALL COMMUNITY UNIT SCHOOL DISTRICT #C-2

Laboratory Demographics

CLIA Number: 14D2199649

Facility Name: MARSHALL COMMUNITY UNIT SCHOOL DISTRICT #C-2

Facility Address:
503 PINE ST
MARSHALL, IL
ZIP 62441
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Facility Phone Number: 217 826-5912

Facility Type: School/Student Health Service

Certificate Type: Waiver
NPI Number: 1750497558

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 14D2199649
LAB Type School/Student Health Service
Facility Name MARSHALL COMMUNITY UNIT SCHOOL DISTRICT #C-2
Street 503 PINE ST
City MARSHALL
State IL
ZIP 62441
Phone 217 826-5912
CertificateType 4
CertificateEffectiveDate 11/10/2022
CertificateExpirationDate 11/9/2024
FacilityType Waiver

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