17D0448541 CLIA NUMBER - JEFFERSON COUNTY HEALTH DEPARTMENT HOME HEALTH & HOSPICE

Laboratory Demographics

  • CLIA Code: 17D0448541
  • Facility Name: JEFFERSON COUNTY HEALTH DEPARTMENT HOME HEALTH & HOSPICE
  • Facility Address: 1212 WALNUT STREET
    OSKALOOSA, KS
    ZIP 66066
  • Facility Phone: 785 403-0025
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: CRYSTAL VAN HOUTAN
  • NPI Number: 1679603260
  • Taxonomy: 343900000X - Non-emergency Medical Transport (VAN)

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CLIA Record

Field Name Field Value
CLIA Number 17D0448541
LAB Type Community Clinic
Facility Name JEFFERSON COUNTY HEALTH DEPARTMENT HOME HEALTH & HOSPICE
Street 1212 WALNUT STREET
City OSKALOOSA
State KS
ZIP 66066
Phone 785 403-0025
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Community Clinic
Lab Director CRYSTAL VAN HOUTAN

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