17D0452714 CLIA NUMBER - DONALD E BEAHM MD

Laboratory Demographics

  • CLIA Code: 17D0452714
  • Facility Name: DONALD E BEAHM MD
  • Facility Address: 3923 BROADWAY #1
    GREAT BEND, KS
    ZIP 67530
  • Facility Phone: 620 792-3626
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DONALD E. BEAHM MD
  • NPI Number: 1750357729
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 17D0452714
LAB Type Physician Office
Facility Name DONALD E BEAHM MD
Street 3923 BROADWAY #1
City GREAT BEND
State KS
ZIP 67530
Phone 620 792-3626
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/28/2024
Certificate Expiration Date 6/27/2026
Facility Type Physician Office
Lab Director DONALD E. BEAHM MD

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