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32D2240875 CLIA NUMBER - MORIARTY ELEMENTARY SCHOOL

Laboratory Demographics

CLIA Number: 32D2240875

Facility Name: MORIARTY ELEMENTARY SCHOOL

Facility Address:
2015 SCHOOL LOOP
MORIARTY, NM
ZIP 87035
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Facility Phone Number: 505 832-5843

Facility Type: School/Student Health Service

Certificate Type: Waiver
NPI Number: 1679793160

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 32D2240875
LAB Type School/Student Health Service
Facility Name MORIARTY ELEMENTARY SCHOOL
Street 2015 SCHOOL LOOP
City MORIARTY
State NM
ZIP 87035
Phone 505 832-5843
CertificateType 4
CertificateEffectiveDate 10/22/2023
CertificateExpirationDate 10/21/2025
FacilityType Waiver

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