22D2204171 CLIA NUMBER - PENTUCKET REGIONAL SCHOOL DISTRICT

Laboratory Demographics

CLIA Number: 22D2204171

Facility Name: PENTUCKET REGIONAL SCHOOL DISTRICT

Facility Address:
20 MAIN ST
WEST NEWBURY, MA
ZIP 01985
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Facility Phone Number: 978 363-2280

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1568583284

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 22D2204171
LAB Type School/Student Health Service
Facility Name PENTUCKET REGIONAL SCHOOL DISTRICT
Street 20 MAIN ST
City WEST NEWBURY
State MA
ZIP 01985
Phone 978 363-2280
CertificateType 4
CertificateEffectiveDate 12/8/2022
CertificateExpirationDate 12/7/2024
FacilityType Waiver

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