17D0047301 CLIA NUMBER - SHERIDAN COUNTY HEALTH COMPLEX

Laboratory Demographics

CLIA Number: 17D0047301

Facility Name: SHERIDAN COUNTY HEALTH COMPLEX

Facility Address:
826 18TH STREET PO BOX 167
HOXIE, KS
ZIP 67740
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Facility Phone Number: 785 675-3281

Facility Type: Hospital

Certificate Type: Certificate of Compliance

NPI Number: 1730694282

Taxonomy: 261QC0050X - Clinic/Center
An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified.

CLIA Record

Field Name	Field Value
CLIA Number	17D0047301
LAB Type	Hospital
Facility Name	SHERIDAN COUNTY HEALTH COMPLEX
Street	826 18TH STREET PO BOX 167
City	HOXIE
State	KS
ZIP	67740
Phone	785 675-3281
CertificateType	2
CertificateEffectiveDate	9/21/2023
CertificateExpirationDate	9/20/2025
FacilityType	Compliance

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