17D0452820 CLIA NUMBER - PRAIRIE SUNSET HOME

Laboratory Demographics

  • CLIA Code: 17D0452820
  • Facility Name: PRAIRIE SUNSET HOME
  • Facility Address: 601 EAST MAIN
    PRETTY PRAIRIE, KS
    ZIP 67570
  • Facility Phone: 620 459-6822
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: RACHEL D. WARD
  • NPI Number: 1588641823
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 17D0452820
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PRAIRIE SUNSET HOME
Street 601 EAST MAIN
City PRETTY PRAIRIE
State KS
ZIP 67570
Phone 620 459-6822
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 RACHEL D. WARD

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