17D0450907 CLIA NUMBER - MEDICALODGE EAST HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 17D0450907
  • Facility Name: MEDICALODGE EAST HEALTHCARE CENTER
  • Facility Address: 203 E OSAGE
    ARKANSAS CITY, KS
    ZIP 67005
  • Facility Phone: 620 442-9300
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: RUTH WEBER, RN
  • NPI Number: 1528156320
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 17D0450907
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MEDICALODGE EAST HEALTHCARE CENTER
Street 203 E OSAGE
City ARKANSAS CITY
State KS
ZIP 67005
Phone 620 442-9300
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 RUTH WEBER, RN

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