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52D2245658 CLIA NUMBER - PECATONICA AREA SCHOOL DISTRICT

Laboratory Demographics

CLIA Number: 52D2245658

Facility Name: PECATONICA AREA SCHOOL DISTRICT

Facility Address:
704 CROSS ST
BLANCHARDVILLE, WI
ZIP 53516
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Facility Phone Number: 608 523-4248

Facility Type: School/Student Health Service

Certificate Type: Waiver
NPI Number: 1205009859

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 52D2245658
LAB Type School/Student Health Service
Facility Name PECATONICA AREA SCHOOL DISTRICT
Street 704 CROSS ST
City BLANCHARDVILLE
State WI
ZIP 53516
Phone 608 523-4248
CertificateType 4
CertificateEffectiveDate 12/15/2023
CertificateExpirationDate 12/14/2025
FacilityType Waiver

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