14D2232365 CLIA NUMBER - VILLA GROVE CUSD #302

Laboratory Demographics

CLIA Number: 14D2232365

Facility Name: VILLA GROVE CUSD #302

Facility Address:
400 N SYCAMORE
VILLA GROVE, IL
ZIP 61956
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Facility Phone Number: 217 832-2261

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1104921121

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	14D2232365
LAB Type	School/Student Health Service
Facility Name	VILLA GROVE CUSD #302
Street	400 N SYCAMORE
City	VILLA GROVE
State	IL
ZIP	61956
Phone	217 832-2261
CertificateType	4
CertificateEffectiveDate	8/12/2023
CertificateExpirationDate	8/11/2025
FacilityType	Waiver

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