17D0448333 CLIA NUMBER - SAINT JOHN MEDICAL GROUP- LEAVENWORTH

Laboratory Demographics

  • CLIA Code: 17D0448333
  • Facility Name: SAINT JOHN MEDICAL GROUP- LEAVENWORTH
  • Facility Address: 3550 SOUTH 4TH STREET SUITE 200
    LEAVENWORTH, KS
    ZIP 66048
  • Facility Phone: 913 680-6442
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: GALEN SEYMOUR
  • NPI Number: 1295735397
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 17D0448333
LAB Type Community Clinic
Facility Name SAINT JOHN MEDICAL GROUP- LEAVENWORTH
Street 3550 SOUTH 4TH STREET SUITE 200
City LEAVENWORTH
State KS
ZIP 66048
Phone 913 680-6442
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Community Clinic
Lab Director GALEN SEYMOUR

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