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33D1046916 CLIA NUMBER - COPENHAGEN HEALTH CENTER

Laboratory Demographics

CLIA Number: 33D1046916

Facility Name: COPENHAGEN HEALTH CENTER

Facility Address:
9732 STATE ROUTE 12
COPENHAGEN, NY
ZIP 13626
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Facility Phone Number: 315 688-2305

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Waiver
NPI Number: 1316003023

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 33D1046916
LAB Type Ancillary Testing Site in Health Care Center
Facility Name COPENHAGEN HEALTH CENTER
Street 9732 STATE ROUTE 12
City COPENHAGEN
State NY
ZIP 13626
Phone 315 688-2305
CertificateType 4
CertificateEffectiveDate 4/8/2013
CertificateExpirationDate 3/26/2027
FacilityType Waiver

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