17D0448124 CLIA NUMBER - EUDORA FAMILY CARE

Laboratory Demographics

  • CLIA Code: 17D0448124
  • Facility Name: EUDORA FAMILY CARE
  • Facility Address: 600 EAST 20TH STREET SUITE 200
    EUDORA, KS
    ZIP 66025
  • Facility Phone: 785 505-2345
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELIZABETH STAMPER
  • NPI Number: 1689081838
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 17D0448124
LAB Type Physician Office
Facility Name EUDORA FAMILY CARE
Street 600 EAST 20TH STREET SUITE 200
City EUDORA
State KS
ZIP 66025
Phone 785 505-2345
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2025
Certificate Expiration Date 5/19/2027
Facility Type Physician Office
Lab Director ELIZABETH STAMPER

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