39D2208120 CLIA NUMBER - HMS SCHOOL FOR CHILDREN WITH CEREBRAL PALSY

Laboratory Demographics

CLIA Number: 39D2208120

Facility Name: HMS SCHOOL FOR CHILDREN WITH CEREBRAL PALSY

Facility Address:
4400 BALITMORE AVENUE
PHILADELPHIA, PA
ZIP 19104
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Facility Phone Number: 215 222-2566

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1568502094

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 39D2208120
LAB Type School/Student Health Service
Facility Name HMS SCHOOL FOR CHILDREN WITH CEREBRAL PALSY
Street 4400 BALITMORE AVENUE
City PHILADELPHIA
State PA
ZIP 19104
Phone 215 222-2566
CertificateType 4
CertificateEffectiveDate 1/5/2023
CertificateExpirationDate 1/4/2025
FacilityType Waiver

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