17D0452265 CLIA NUMBER - PLEASANT VALLEY MANOR

Laboratory Demographics

  • CLIA Code: 17D0452265
  • Facility Name: PLEASANT VALLEY MANOR
  • Facility Address: 613 E ELM
    SEDAN, KS
    ZIP 67361
  • Facility Phone: (620) 725-3153
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KRISTINA SIMS
  • NPI Number: 1043218738
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 17D0452265
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PLEASANT VALLEY MANOR
Street 613 E ELM
City SEDAN
State KS
ZIP 67361
Phone 6207253153
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 KRISTINA SIMS

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This page was last updated on: 5/18/2026