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15D2267139 CLIA NUMBER - WHITLEY COUNTY COMMUNITY CORRECTIONS

Laboratory Demographics

CLIA Number: 15D2267139

Facility Name: WHITLEY COUNTY COMMUNITY CORRECTIONS

Facility Address:
351 WEST PLAZA DRIVE
COLUMBIA CITY, IN
ZIP 46725
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Facility Phone Number: 260 248-3113

Facility Type: Other - RESIDENTIAL WORK RELEASE

Certificate Type: Waiver
NPI Number: 1851776223

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 15D2267139
LAB Type Other - RESIDENTIAL WORK RELEASE
Facility Name WHITLEY COUNTY COMMUNITY CORRECTIONS
Street 351 WEST PLAZA DRIVE
City COLUMBIA CITY
State IN
ZIP 46725
Phone 260 248-3113
CertificateType 4
CertificateEffectiveDate 8/22/2022
CertificateExpirationDate 8/21/2024
FacilityType Waiver

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