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50D2223053 CLIA NUMBER - WAHLUKE SCHOOL DISTRICT #73

Laboratory Demographics

CLIA Number: 50D2223053

Facility Name: WAHLUKE SCHOOL DISTRICT #73

Facility Address:
411 E SADDLE MOUNTAIN DR
MATTAWA, WA
ZIP 99349
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Facility Phone Number: 509 932-4565

Facility Type: School/Student Health Service

Certificate Type: Waiver
NPI Number: 1740363498

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 50D2223053
LAB Type School/Student Health Service
Facility Name WAHLUKE SCHOOL DISTRICT #73
Street 411 E SADDLE MOUNTAIN DR
City MATTAWA
State WA
ZIP 99349
Phone 509 932-4565
CertificateType 4
CertificateEffectiveDate 5/4/2021
CertificateExpirationDate 4/4/2028
FacilityType Waiver

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