17D0450747 CLIA NUMBER - MCH MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 17D0450747
  • Facility Name: MCH MEDICAL CLINIC
  • Facility Address: 604 N WASHINGTON
    COUNCIL GROVE, KS
    ZIP 66846
  • Facility Phone: (620) 767-5126
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: LORA A. SIEGLE
  • NPI Number: 1306991948
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 17D0450747
LAB Type Rural Health Clinic
Facility Name MCH MEDICAL CLINIC
Street 604 N WASHINGTON
City COUNCIL GROVE
State KS
ZIP 66846
Phone 6207675126
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2025
Certificate Expiration Date 6/17/2027
Facility Type Rural Health Clinic
Lab Director LORA A. SIEGLE

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: 5/18/2026