17D0451770 CLIA NUMBER - WICHITA PRESBYTERIAN MANOR

Laboratory Demographics

  • CLIA Code: 17D0451770
  • Facility Name: WICHITA PRESBYTERIAN MANOR
  • Facility Address: 4700 W 13TH
    WICHITA, KS
    ZIP 67212
  • Facility Phone: 316 942-7456
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: PURITY NYAGA, RN
  • NPI Number: 1033213350
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 17D0451770
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WICHITA PRESBYTERIAN MANOR
Street 4700 W 13TH
City WICHITA
State KS
ZIP 67212
Phone 316 942-7456
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 PURITY NYAGA, RN

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