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50D2253249 CLIA NUMBER - IMPACT PUBLIC SCHOOLS

Laboratory Demographics

CLIA Number: 50D2253249

Facility Name: IMPACT PUBLIC SCHOOLS

Facility Address:
3438 S 148TH ST
TUKWILA, WA
ZIP 98168
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Facility Phone Number: 206 712-7640

Facility Type: School/Student Health Service

Certificate Type: Waiver
NPI Number: 1164149373

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 50D2253249
LAB Type School/Student Health Service
Facility Name IMPACT PUBLIC SCHOOLS
Street 3438 S 148TH ST
City TUKWILA
State WA
ZIP 98168
Phone 206 712-7640
CertificateType 4
CertificateEffectiveDate 2/18/2022
CertificateExpirationDate 4/4/2028
FacilityType Waiver

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