17D0450734 CLIA NUMBER - COFFEY COUNTY HOSPITAL LABORATORY

Laboratory Demographics

CLIA Number: 17D0450734

Facility Name: COFFEY COUNTY HOSPITAL LABORATORY

Facility Address:
801 N 4TH STREET
BURLINGTON, KS
ZIP 66839
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Facility Phone Number: 620 364-2121

Facility Type: Hospital

Certificate Type: Certificate of Compliance

NPI Number: 1013905405

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	17D0450734
LAB Type	Hospital
Facility Name	COFFEY COUNTY HOSPITAL LABORATORY
Street	801 N 4TH STREET
City	BURLINGTON
State	KS
ZIP	66839
Phone	620 364-2121
CertificateType	2
CertificateEffectiveDate	3/23/2023
CertificateExpirationDate	3/22/2025
FacilityType	Compliance

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