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32D2251229 CLIA NUMBER - MEDIA ARTS COLLABIRATIVE CHARTER SCHOOL

Laboratory Demographics

CLIA Number: 32D2251229

Facility Name: MEDIA ARTS COLLABIRATIVE CHARTER SCHOOL

Facility Address:
4401 CENTRAL AVE NE BUILDING #2
ALBUQUERQUE, NM
ZIP 87108
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Facility Phone Number: 505 243-1957

Facility Type: School/Student Health Service

Certificate Type: Waiver
NPI Number: 1780825398

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 32D2251229
LAB Type School/Student Health Service
Facility Name MEDIA ARTS COLLABIRATIVE CHARTER SCHOOL
Street 4401 CENTRAL AVE NE BUILDING #2
City ALBUQUERQUE
State NM
ZIP 87108
Phone 505 243-1957
CertificateType 4
CertificateEffectiveDate 2/1/2024
CertificateExpirationDate 1/31/2026
FacilityType Waiver

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