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50D2246312 CLIA NUMBER - PE ELL SCHOOL DISTRICT

Laboratory Demographics

CLIA Number: 50D2246312

Facility Name: PE ELL SCHOOL DISTRICT

Facility Address:
519 N 2ND ST
PE ELL, WA
ZIP 98572
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Facility Phone Number: 360 291-3244

Facility Type: School/Student Health Service

Certificate Type: Waiver
NPI Number: 1336162296

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 50D2246312
LAB Type School/Student Health Service
Facility Name PE ELL SCHOOL DISTRICT
Street 519 N 2ND ST
City PE ELL
State WA
ZIP 98572
Phone 360 291-3244
CertificateType 4
CertificateEffectiveDate 12/22/2021
CertificateExpirationDate 4/4/2028
FacilityType Waiver

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