17D0451082 CLIA NUMBER - PARKSIDE HOMES, INC

Laboratory Demographics

  • CLIA Code: 17D0451082
  • Facility Name: PARKSIDE HOMES, INC
  • Facility Address: 200 WILLOW RD
    HILLSBORO, KS
    ZIP 67063
  • Facility Phone: 620 947-2301
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TAMMY D. MERRICK
  • NPI Number: 1285621862
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 17D0451082
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PARKSIDE HOMES, INC
Street 200 WILLOW RD
City HILLSBORO
State KS
ZIP 67063
Phone 620 947-2301
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 TAMMY D. MERRICK

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