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32D2236900 CLIA NUMBER - JEMEZ VALLEY MIDDLE SCHOOL

Laboratory Demographics

CLIA Number: 32D2236900

Facility Name: JEMEZ VALLEY MIDDLE SCHOOL

Facility Address:
8501 HWY4
JEMEZ PUEBLO, NM
ZIP 87024
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Facility Phone Number: 500 373-0053

Facility Type: School/Student Health Service

Certificate Type: Waiver
NPI Number: 1851514970

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 32D2236900
LAB Type School/Student Health Service
Facility Name JEMEZ VALLEY MIDDLE SCHOOL
Street 8501 HWY4
City JEMEZ PUEBLO
State NM
ZIP 87024
Phone 500 373-0053
CertificateType 4
CertificateEffectiveDate 9/21/2023
CertificateExpirationDate 9/20/2025
FacilityType Waiver

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