17D0046900 CLIA NUMBER - WILSON MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 17D0046900
  • Facility Name: WILSON MEDICAL CENTER
  • Facility Address: 2600 OTTAWA ROAD
    NEODESHA, KS
    ZIP 66757
  • Facility Phone: 620 325-8308
  • Facility Type: Hospital
  • Facility Type: Certificate of Compliance
  • Lab Director: ANDREW T. LY
  • NPI Number: 1760407407
  • Taxonomy: 275N00000X - Medicare Defined Swing Bed Unit

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CLIA Record

Field Name Field Value
CLIA Number 17D0046900
LAB Type Hospital
Facility Name WILSON MEDICAL CENTER
Street 2600 OTTAWA ROAD
City NEODESHA
State KS
ZIP 66757
Phone 620 325-8308
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 8/23/2024
Certificate Expiration Date 8/22/2026
Facility Type Hospital
Lab Director ANDREW T. LY

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This page was last updated on: 9/29/2025