17D0448627 CLIA NUMBER - TOPEKA PHYSICIAN GROUP LLC

Laboratory Demographics

  • CLIA Code: 17D0448627
  • Facility Name: TOPEKA PHYSICIAN GROUP LLC
  • Facility Address: VALLEY FALLS FAMILY MEDICINE 403 SYCAMORE
    VALLEY FALLS, KS
    ZIP 66088
  • Facility Phone: 785 945-3263
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JAMES V. RIDER
  • NPI Number: 1902395262
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D0448627
LAB Type Physician Office
Facility Name TOPEKA PHYSICIAN GROUP LLC
Street VALLEY FALLS FAMILY MEDICINE 403 SYCAMORE
City VALLEY FALLS
State KS
ZIP 66088
Phone 785 945-3263
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 3/30/2024
Certificate Expiration Date 3/29/2026
Facility Type Physician Office
Lab Director JAMES V. RIDER

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