17D0450575 CLIA NUMBER - MORAN MANOR NURSING FACILITY

Laboratory Demographics

  • CLIA Code: 17D0450575
  • Facility Name: MORAN MANOR NURSING FACILITY
  • Facility Address: 3940 HIGHWAY 54
    MORAN, KS
    ZIP 66755
  • Facility Phone: 620 237-4300
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JENNIFER ADAMS
  • NPI Number: 1932107612
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 17D0450575
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MORAN MANOR NURSING FACILITY
Street 3940 HIGHWAY 54
City MORAN
State KS
ZIP 66755
Phone 620 237-4300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JENNIFER ADAMS

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