CLOVER PARK SCHOOL DISTRICT
NPI 1720173313
Local Education Agency (LEA) in Lakewood, WA

Q: What is Clover Park School District's NPI number?

The NPI number for Clover Park School District is 1720173313. It was assigned to this organization in the NPPES registry on October 3, 2006.

Q: What is Clover Park School District's specialty?

The primary specialty registered for this NPI is Local Education Agency (LEA) with taxonomy code 251300000X.

Active since October 03, 2006CLIA 50D2231730 · Waiver

10903 GRAVELLY LAKE SW, LAKEWOOD, WA 98499(253) 583-5179(253) 583-5178 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Clover Park School District NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLOVER PARK SCHOOL DISTRICT (NPI 1720173313) is a healthcare organization registered as a local education agency (lea) in Lakewood, Washington and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Lynn D Wilson, Director Of Financial Services, as its authorized official.

NPPES Registry Identity

NPI1720173313

Entity TypeOrganization

Primary Taxonomy251300000X

Legal Business NameCLOVER PARK SCHOOL DISTRICT

Location Address10903 GRAVELLY LAKE SWLakewood, WA 98499

Mailing Address10903 Gravelly Lake SwLakewood, WA 98499 · (253) 583-5179 · Fax (253) 583-5178

Phone(253) 583-5179

Fax(253) 583-5178

Organization SubpartNo

Authorized OfficialLynn D WilsonDirector Of Financial Services · (253) 583-5021

Enumeration DateOctober 3, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1720173313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLocal Education Agency (LEA)Agencies

Taxonomy Code251300000X

Definition

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.

10903 GRAVELLY LAKE SW, Lakewood, WA 98499

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Other Identifiers 1

Medicaid7441074WA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2231730

Clover Park School District - Student Services Cen · Lakewood, WA

Active · expires Apr 4, 2028

CLIA Number50D2231730

Laboratory TypeSchool/Student Health Service

Certificate Effective DateAugust 5, 2021

Certificate Expiration DateApril 4, 2028

Laboratory DirectorBrian Laubach

Laboratory Phone(253) 583-5010

Laboratory LocationClover Park School District - Student Services Cen10903 Gravelly Lake Dr SW, Lakewood, WA 98499

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clover Park School District's NPI number?

The NPI number for Clover Park School District is 1720173313. It was assigned to this organization in the NPPES registry on October 3, 2006.

Where is Clover Park School District located?

Clover Park School District is located at 10903 Gravelly Lake SW, Lakewood, WA 98499. The listed phone number is (253) 583-5179.

What is Clover Park School District's specialty?

The primary specialty registered for this NPI is Local Education Agency (LEA) with taxonomy code 251300000X.

Does Clover Park School District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2231730) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Clover Park School District was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.