Healther Providers Data Logo

14D2200578 CLIA NUMBER - KILDEER COUNTRYSIDE CCSD 96

Laboratory Demographics

CLIA Number: 14D2200578

Facility Name: KILDEER COUNTRYSIDE CCSD 96

Facility Address:
1050 IVY HALL LANE
BUFFALO GROVE, IL
ZIP 60089
Get Directions

Facility Phone Number: 847 459-4260

Facility Type: School/Student Health Service

Certificate Type: Waiver
NPI Number: 1659403582

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 14D2200578
LAB Type School/Student Health Service
Facility Name KILDEER COUNTRYSIDE CCSD 96
Street 1050 IVY HALL LANE
City BUFFALO GROVE
State IL
ZIP 60089
Phone 847 459-4260
CertificateType 4
CertificateEffectiveDate 11/16/2022
CertificateExpirationDate 11/15/2024
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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