17D0452446 CLIA NUMBER - ECMC - RURAL HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 17D0452446
  • Facility Name: ECMC - RURAL HEALTH CLINIC
  • Facility Address: 1602 AYLWARD AVE
    ELLSWORTH, KS
    ZIP 67439
  • Facility Phone: (785) 472-3111
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: RANDI D. STOPPEL

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CLIA Record

Field Name Field Value
CLIA Number 17D0452446
LAB Type Rural Health Clinic
Facility Name ECMC - RURAL HEALTH CLINIC
Street 1602 AYLWARD AVE
City ELLSWORTH
State KS
ZIP 67439
Phone 7854723111
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 Rural Health Clinic
Lab Director RANDI D. STOPPEL

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This page was last updated on: 6/29/2026