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24D2244867 CLIA NUMBER - WABASHA-KELLOG ISD 811

Laboratory Demographics

CLIA Number: 24D2244867

Facility Name: WABASHA-KELLOG ISD 811

Facility Address:
2113 HIAWATHA DRIVE EAST
WABASHA, MN
ZIP 55981
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Facility Phone Number: 651 565-3559

Facility Type: School/Student Health Service

Certificate Type: Waiver
NPI Number: 1205979804

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 24D2244867
LAB Type School/Student Health Service
Facility Name WABASHA-KELLOG ISD 811
Street 2113 HIAWATHA DRIVE EAST
City WABASHA
State MN
ZIP 55981
Phone 651 565-3559
CertificateType 4
CertificateEffectiveDate 12/7/2023
CertificateExpirationDate 12/6/2025
FacilityType Waiver

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