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25D2224006 CLIA NUMBER - QUITMAN SCHOOL DISTRICT

Laboratory Demographics

CLIA Number: 25D2224006

Facility Name: QUITMAN SCHOOL DISTRICT

Facility Address:
104 E FRANKLIN ST
QUITMAN, MS
ZIP 39355
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Facility Phone Number: 601 776-2186

Facility Type: School/Student Health Service

Certificate Type: Waiver
NPI Number: 1770992927

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 25D2224006
LAB Type School/Student Health Service
Facility Name QUITMAN SCHOOL DISTRICT
Street 104 E FRANKLIN ST
City QUITMAN
State MS
ZIP 39355
Phone 601 776-2186
CertificateType 4
CertificateEffectiveDate 5/11/2023
CertificateExpirationDate 5/10/2025
FacilityType Waiver

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