17D0451497 CLIA NUMBER - SOUTHEAST FAMILY MEDCENTER

Laboratory Demographics

CLIA Number: 17D0451497

Facility Name: SOUTHEAST FAMILY MEDCENTER

Facility Address:
7150 EAST HARRY
WICHITA, KS
ZIP 67207
Get Directions

Facility Phone Number: 316 749-4209

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1881874030

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	17D0451497
LAB Type	Physician Office
Facility Name	SOUTHEAST FAMILY MEDCENTER
Street	7150 EAST HARRY
City	WICHITA
State	KS
ZIP	67207
Phone	316 749-4209
CertificateType	2
CertificateEffectiveDate	9/11/2023
CertificateExpirationDate	9/10/2025
FacilityType	Compliance

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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