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14D2223562 CLIA NUMBER - BROOKWOOD SCHOOL DISTRICT 167

Laboratory Demographics

CLIA Number: 14D2223562

Facility Name: BROOKWOOD SCHOOL DISTRICT 167

Facility Address:
201 E GLENWOOD-DYER RD
GLENWOOD, IL
ZIP 60425
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Facility Phone Number: 708 758-5290

Facility Type: School/Student Health Service

Certificate Type: Waiver
NPI Number: 1194926154

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 14D2223562
LAB Type School/Student Health Service
Facility Name BROOKWOOD SCHOOL DISTRICT 167
Street 201 E GLENWOOD-DYER RD
City GLENWOOD
State IL
ZIP 60425
Phone 708 758-5290
CertificateType 4
CertificateEffectiveDate 5/7/2023
CertificateExpirationDate 5/6/2025
FacilityType Waiver

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