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33D2245634 CLIA NUMBER - FAYETTEVILLE-MANLIUS HIGH SCHOOL

Laboratory Demographics

CLIA Number: 33D2245634

Facility Name: FAYETTEVILLE-MANLIUS HIGH SCHOOL

Facility Address:
8201 E SENECA TPKE
MANLIUS, NY
ZIP 13104
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Facility Phone Number: 315 692-1910

Facility Type: School/Student Health Service

Certificate Type: Waiver
NPI Number: 1497803753

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 33D2245634
LAB Type School/Student Health Service
Facility Name FAYETTEVILLE-MANLIUS HIGH SCHOOL
Street 8201 E SENECA TPKE
City MANLIUS
State NY
ZIP 13104
Phone 315 692-1910
CertificateType 4
CertificateEffectiveDate 12/15/2021
CertificateExpirationDate 3/26/2027
FacilityType Waiver

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