34D0984782 CLIA NUMBER - BLADEN COUNTY SCHOOLS - STUDENT HEALTH BLADEN COUNTY BOARD OF EDUCATION

Laboratory Demographics

CLIA Number: 34D0984782

Facility Name: BLADEN COUNTY SCHOOLS - STUDENT HEALTH BLADEN COUNTY BOARD OF EDUCATION

Facility Address:
1480 US HIGHWAY 701 SOUTH
ELIZABETHTOWN, NC
ZIP 28337
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Facility Phone Number: 910 862-4136

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1508941444

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	34D0984782
LAB Type	School/Student Health Service
Facility Name	BLADEN COUNTY SCHOOLS - STUDENT HEALTH BLADEN COUNTY BOARD OF EDUCATION
Street	1480 US HIGHWAY 701 SOUTH
City	ELIZABETHTOWN
State	NC
ZIP	28337
Phone	910 862-4136
CertificateType	4
CertificateEffectiveDate	3/30/2023
CertificateExpirationDate	3/29/2025
FacilityType	Waiver

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