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36D2299222 CLIA NUMBER - OLD FORT LOCAL SCHOOLS

Laboratory Demographics

CLIA Number: 36D2299222

Facility Name: OLD FORT LOCAL SCHOOLS

Facility Address:
7635 N CR 51
TIFFIN, OH
ZIP 44883
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Facility Phone Number: 419 992-4291

Facility Type: School/Student Health Service

Certificate Type: Waiver
NPI Number: 1619117033

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 36D2299222
LAB Type School/Student Health Service
Facility Name OLD FORT LOCAL SCHOOLS
Street 7635 N CR 51
City TIFFIN
State OH
ZIP 44883
Phone 419 992-4291
CertificateType 4
CertificateEffectiveDate 2/15/2024
CertificateExpirationDate 2/14/2026
FacilityType Waiver

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