17D0451899 CLIA NUMBER - HILLSIDE MEDICAL OFFICE

Laboratory Demographics

  • CLIA Code: 17D0451899
  • Facility Name: HILLSIDE MEDICAL OFFICE
  • Facility Address: 855 N HILLSIDE
    WICHITA, KS
    ZIP 67214
  • Facility Phone: 316 685-1381
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: FARAH L. ERICKSON
  • NPI Number: 1912969486
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 17D0451899
LAB Type Physician Office
Facility Name HILLSIDE MEDICAL OFFICE
Street 855 N HILLSIDE
City WICHITA
State KS
ZIP 67214
Phone 316 685-1381
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/21/2025
Certificate Expiration Date 1/20/2027
Facility Type Physician Office
Lab Director FARAH L. ERICKSON

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