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17D2242203 CLIA NUMBER - USD 204 BONNER SPRINGS / EDWARDSVILLE UNIFIED SCHOOL DISTRICT

Laboratory Demographics

CLIA Number: 17D2242203

Facility Name: USD 204 BONNER SPRINGS / EDWARDSVILLE UNIFIED SCHOOL DISTRICT

Facility Address:
2200 S 138TH STREET
BONNER SPRINGS, KS
ZIP 66012
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Facility Phone Number: 913 422-7970

Facility Type: School/Student Health Service

Certificate Type: Waiver
NPI Number: 1730413964

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 17D2242203
LAB Type School/Student Health Service
Facility Name USD 204 BONNER SPRINGS / EDWARDSVILLE UNIFIED SCHOOL DISTRICT
Street 2200 S 138TH STREET
City BONNER SPRINGS
State KS
ZIP 66012
Phone 913 422-7970
CertificateType 4
CertificateEffectiveDate 11/5/2023
CertificateExpirationDate 11/4/2025
FacilityType Waiver

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