17D0450141 CLIA NUMBER - MINOR MED INC

Laboratory Demographics

  • CLIA Code: 17D0450141
  • Facility Name: MINOR MED INC
  • Facility Address: 1119 GAGE
    TOPEKA, KS
    ZIP 66604
  • Facility Phone: 785 272-4000
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RICHARD D. ILIFF, MD
  • NPI Number: 1093827511
  • Taxonomy: 261Q00000X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 17D0450141
LAB Type Physician Office
Facility Name MINOR MED INC
Street 1119 GAGE
City TOPEKA
State KS
ZIP 66604
Phone 785 272-4000
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director RICHARD D. ILIFF, MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025