21D2091319 CLIA NUMBER - ST MARY'S COUNTY PUBLIC SCHOOL

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Laboratory Demographics

CLIA Number: 21D2091319

Facility Name: ST MARY'S COUNTY PUBLIC SCHOOL

Facility Address:
23160 MOAKLEY STREET #104
LEONARDTOWN, MD
ZIP 20650
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Facility Phone Number: 301 475-5511

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1437292216

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	21D2091319
LAB Type	School/Student Health Service
Facility Name	ST MARY'S COUNTY PUBLIC SCHOOL
Street	23160 MOAKLEY STREET #104
City	LEONARDTOWN
State	MD
ZIP	20650
Phone	301 475-5511
CertificateType	4
CertificateEffectiveDate	2/11/2023
CertificateExpirationDate	2/10/2025
FacilityType	Waiver

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