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14D2272112 CLIA NUMBER - CALUMET CITY SD 155

Laboratory Demographics

CLIA Number: 14D2272112

Facility Name: CALUMET CITY SD 155

Facility Address:
540 SUPERIOR AVE
CALUMET CITY, IL
ZIP 60409
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Facility Phone Number: 708 867-7665

Facility Type: School/Student Health Service

Certificate Type: Waiver
NPI Number: 1689875585

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 14D2272112
LAB Type School/Student Health Service
Facility Name CALUMET CITY SD 155
Street 540 SUPERIOR AVE
City CALUMET CITY
State IL
ZIP 60409
Phone 708 867-7665
CertificateType 4
CertificateEffectiveDate 11/15/2022
CertificateExpirationDate 11/14/2024
FacilityType Waiver

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