17D0451642 CLIA NUMBER - LABCORP KANSAS INC, - ST TERESA

Laboratory Demographics

  • CLIA Code: 17D0451642
  • Facility Name: LABCORP KANSAS INC, - ST TERESA
  • Facility Address: 14700 W SAINT TERESA ST, STE 105
    WICHITA, KS
    ZIP 67235
  • Facility Phone: 316 274-1796
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JULIE J. SIMON
  • NPI Number: 1114664216
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 17D0451642
LAB Type Physician Office
Facility Name LABCORP KANSAS INC, - ST TERESA
Street 14700 W SAINT TERESA ST, STE 105
City WICHITA
State KS
ZIP 67235
Phone 316 274-1796
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2024
Certificate Expiration Date 4/23/2026
Facility Type Physician Office
Lab Director JULIE J. SIMON

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