17D0450546 CLIA NUMBER - SOUTHEAST KANSAS MENTAL HEALTH CENTER DBA ASHLEY CLINIC

Laboratory Demographics

  • CLIA Code: 17D0450546
  • Facility Name: SOUTHEAST KANSAS MENTAL HEALTH CENTER DBA ASHLEY CLINIC
  • Facility Address: 202 S 9TH
    HUMBOLDT, KS
    ZIP 66748
  • Facility Phone: 620 431-2500
  • Facility Type: Practitioner Other
  • Facility Type: Microscopy
  • Lab Director: KATHI YOKUM
  • NPI Number: 1184793499
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 17D0450546
LAB Type Practitioner Other
Facility Name SOUTHEAST KANSAS MENTAL HEALTH CENTER DBA ASHLEY CLINIC
Street 202 S 9TH
City HUMBOLDT
State KS
ZIP 66748
Phone 620 431-2500
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 6/1/2024
Certificate Expiration Date 5/31/2026
Facility Type Practitioner Other
Lab Director KATHI YOKUM

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: 9/29/2025