46D2202436 CLIA NUMBER - SAN JUAN SCHOOL DISTRICT

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Laboratory Demographics

CLIA Number: 46D2202436

Facility Name: SAN JUAN SCHOOL DISTRICT

Facility Address:
200 NORTH MAIN
BLANDING, UT
ZIP 84511
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Facility Phone Number: 435 678-1211

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1114939139

Taxonomy: 251C00000X - Day Training, Developmentally Disabled Services
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

CLIA Record

Field Name	Field Value
CLIA Number	46D2202436
LAB Type	School/Student Health Service
Facility Name	SAN JUAN SCHOOL DISTRICT
Street	200 NORTH MAIN
City	BLANDING
State	UT
ZIP	84511
Phone	435 678-1211
CertificateType	4
CertificateEffectiveDate	11/27/2022
CertificateExpirationDate	11/26/2024
FacilityType	Waiver

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