17D0448574 CLIA NUMBER - OTTAWA FAMILY PHYSICIANS

Laboratory Demographics

  • CLIA Code: 17D0448574
  • Facility Name: OTTAWA FAMILY PHYSICIANS
  • Facility Address: 1418 SOUTH MAIN STE 5
    OTTAWA, KS
    ZIP 66067
  • Facility Phone: 785 242-1620
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: TERESA ADAMS
  • NPI Number: 1477598837
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 17D0448574
LAB Type Physician Office
Facility Name OTTAWA FAMILY PHYSICIANS
Street 1418 SOUTH MAIN STE 5
City OTTAWA
State KS
ZIP 66067
Phone 785 242-1620
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director TERESA ADAMS

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