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14D2231975 CLIA NUMBER - LA GRANGE HIGHLANDS, DISTRICT 106

Laboratory Demographics

CLIA Number: 14D2231975

Facility Name: LA GRANGE HIGHLANDS, DISTRICT 106

Facility Address:
1750 PLAINFIELD RD
LA GRANGE, IL
ZIP 60525
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Facility Phone Number: 708 546-3085

Facility Type: School/Student Health Service

Certificate Type: Waiver
NPI Number: 1023401817

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 14D2231975
LAB Type School/Student Health Service
Facility Name LA GRANGE HIGHLANDS, DISTRICT 106
Street 1750 PLAINFIELD RD
City LA GRANGE
State IL
ZIP 60525
Phone 708 546-3085
CertificateType 4
CertificateEffectiveDate 8/9/2023
CertificateExpirationDate 8/8/2025
FacilityType Waiver

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