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14D2210109 CLIA NUMBER - COMMUNITY HIGH SCHOOL DISTRICT 99

Laboratory Demographics

CLIA Number: 14D2210109

Facility Name: COMMUNITY HIGH SCHOOL DISTRICT 99

Facility Address:
6301 SPRINGSIDE AVENUE
DOWNERS GROVE, IL
ZIP 60516
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Facility Phone Number: 630 795-7100

Facility Type: School/Student Health Service

Certificate Type: Waiver
NPI Number: 1407980741

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 14D2210109
LAB Type School/Student Health Service
Facility Name COMMUNITY HIGH SCHOOL DISTRICT 99
Street 6301 SPRINGSIDE AVENUE
City DOWNERS GROVE
State IL
ZIP 60516
Phone 630 795-7100
CertificateType 4
CertificateEffectiveDate 1/20/2023
CertificateExpirationDate 1/19/2025
FacilityType Waiver

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