17D0450663 CLIA NUMBER - YATES CENTER MEDICAL CLINIC

Laboratory Demographics

CLIA Number: 17D0450663

Facility Name: YATES CENTER MEDICAL CLINIC

Facility Address:
1004 E MADISON
YATES CENTER, KS
ZIP 66783
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Facility Phone Number: 620 625-2312

Facility Type: Other - ANCILARY CLINIC

Certificate Type: Waiver

NPI Number: 1922246354

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	17D0450663
LAB Type	Other - ANCILARY CLINIC
Facility Name	YATES CENTER MEDICAL CLINIC
Street	1004 E MADISON
City	YATES CENTER
State	KS
ZIP	66783
Phone	620 625-2312
CertificateType	4
CertificateEffectiveDate	1/1/2023
CertificateExpirationDate	12/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024