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50D2211699 CLIA NUMBER - PENINSULA SCHOOL DISTRICT #401

Laboratory Demographics

CLIA Number: 50D2211699

Facility Name: PENINSULA SCHOOL DISTRICT #401

Facility Address:
14015 62ND AVE NW
GIG HARBOR, WA
ZIP 98332
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Facility Phone Number: 253 530-1000

Facility Type: School/Student Health Service

Certificate Type: Waiver
NPI Number: 1033135603

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 50D2211699
LAB Type School/Student Health Service
Facility Name PENINSULA SCHOOL DISTRICT #401
Street 14015 62ND AVE NW
City GIG HARBOR
State WA
ZIP 98332
Phone 253 530-1000
CertificateType 4
CertificateEffectiveDate 1/29/2021
CertificateExpirationDate 4/4/2028
FacilityType Waiver

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