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33D2208037 CLIA NUMBER - OPPENHEIM-EPHRATAH-ST JOHNSVILLE CSD

Laboratory Demographics

CLIA Number: 33D2208037

Facility Name: OPPENHEIM-EPHRATAH-ST JOHNSVILLE CSD

Facility Address:
44 CENTER ST
SAINT JOHNSVILLE, NY
ZIP 13452
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Facility Phone Number: 518 568-7280

Facility Type: School/Student Health Service

Certificate Type: Waiver
NPI Number: 1710039144

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 33D2208037
LAB Type School/Student Health Service
Facility Name OPPENHEIM-EPHRATAH-ST JOHNSVILLE CSD
Street 44 CENTER ST
City SAINT JOHNSVILLE
State NY
ZIP 13452
Phone 518 568-7280
CertificateType 4
CertificateEffectiveDate 1/4/2021
CertificateExpirationDate 3/26/2027
FacilityType Waiver

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