17D0452741 CLIA NUMBER - AZRIA HEALTH-WOODHAVEN

Laboratory Demographics

  • CLIA Code: 17D0452741
  • Facility Name: AZRIA HEALTH-WOODHAVEN
  • Facility Address: 1560 K-96 HWY
    GREAT BEND, KS
    ZIP 67530
  • Facility Phone: 620 792-2448
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CANDICE L. HORNER
  • NPI Number: 1861094328
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 17D0452741
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AZRIA HEALTH-WOODHAVEN
Street 1560 K-96 HWY
City GREAT BEND
State KS
ZIP 67530
Phone 620 792-2448
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 CANDICE L. HORNER

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