17D0450663 CLIA NUMBER - YATES CENTER MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 17D0450663
  • Facility Name: YATES CENTER MEDICAL CLINIC
  • Facility Address: 1004 E MADISON
    YATES CENTER, KS
    ZIP 66783
  • Facility Phone: 620 625-2312
  • Facility Type: Other - ANCILARY CLINIC
  • Facility Type: Waiver
  • Lab Director: GERALD L. FULTON
  • NPI Number: 1922246354
  • Taxonomy: 261QR1300X - Clinic/Center

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2025
Certificate Expiration Date 12/31/2026
Facility Type Other - ANCILARY CLINIC
Lab Director GERALD L. FULTON

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