17D0452549 CLIA NUMBER - WILSON OPERATOR, LLC

Laboratory Demographics

  • CLIA Code: 17D0452549
  • Facility Name: WILSON OPERATOR, LLC
  • Facility Address: 611 31ST STREET
    WILSON, KS
    ZIP 67490
  • Facility Phone: (785) 658-2505
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: NICOLE KUNTZSCH
  • NPI Number: 1518516517
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 17D0452549
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WILSON OPERATOR, LLC
Street 611 31ST STREET
City WILSON
State KS
ZIP 67490
Phone 7856582505
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 NICOLE KUNTZSCH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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