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34D2058916 CLIA NUMBER - CASWELL COUNTY DETENTION CENTER

Laboratory Demographics

CLIA Number: 34D2058916

Facility Name: CASWELL COUNTY DETENTION CENTER

Facility Address:
315 NORTH AVENUE
YANCEYVILLE, NC
ZIP 27379
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Facility Phone Number: 423 553-5635

Facility Type: Other - JAIL MEDICAL UNIT

Certificate Type: Waiver
NPI Number: 1437368586

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 34D2058916
LAB Type Other - JAIL MEDICAL UNIT
Facility Name CASWELL COUNTY DETENTION CENTER
Street 315 NORTH AVENUE
City YANCEYVILLE
State NC
ZIP 27379
Phone 423 553-5635
CertificateType 4
CertificateEffectiveDate 5/14/2023
CertificateExpirationDate 5/13/2025
FacilityType Waiver

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