17D0450512 CLIA NUMBER - LABETTE HEALTH CHERRYVALE CLINIC

Laboratory Demographics

  • CLIA Code: 17D0450512
  • Facility Name: LABETTE HEALTH CHERRYVALE CLINIC
  • Facility Address: 116 N MAPLE
    CHERRYVALE, KS
    ZIP 67335
  • Facility Phone: 620 336-3255
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARC HOFFMEISLER
  • NPI Number: 1386940625
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D0450512
LAB Type Physician Office
Facility Name LABETTE HEALTH CHERRYVALE CLINIC
Street 116 N MAPLE
City CHERRYVALE
State KS
ZIP 67335
Phone 620 336-3255
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2025
Certificate Expiration Date 10/4/2027
Facility Type Physician Office
Lab Director MARC HOFFMEISLER

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