17D0448338 CLIA NUMBER - SAINT VINCENT CLINIC

Laboratory Demographics

  • CLIA Code: 17D0448338
  • Facility Name: SAINT VINCENT CLINIC
  • Facility Address: 818 N 7TH STREET
    LEAVENWORTH, KS
    ZIP 66048
  • Facility Phone: 913 651-8860
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: LINDA H. CAMPBELL, MD
  • NPI Number: 1174730725
  • Taxonomy: 261QC1500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D0448338
LAB Type Community Clinic
Facility Name SAINT VINCENT CLINIC
Street 818 N 7TH STREET
City LEAVENWORTH
State KS
ZIP 66048
Phone 913 651-8860
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/16/2024
Certificate Expiration Date 2/15/2026
Facility Type Community Clinic
Lab Director LINDA H. CAMPBELL, MD

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