17D0452929 CLIA NUMBER - GRAHAM COUNTY HOSPITAL

Laboratory Demographics

  • CLIA Code: 17D0452929
  • Facility Name: GRAHAM COUNTY HOSPITAL
  • Facility Address: 304 W PROUT ST
    HILL CITY, KS
    ZIP 67642
  • Facility Phone: (785) 421-2121
  • Facility Type: Hospital
  • Facility Type: Certificate of Compliance
  • Lab Director: ROGER V. DIETZ
  • NPI Number: 1407938939
  • Taxonomy: 275N00000X - Medicare Defined Swing Bed Unit

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CLIA Record

Field Name Field Value
CLIA Number 17D0452929
LAB Type Hospital
Facility Name GRAHAM COUNTY HOSPITAL
Street 304 W PROUT ST
City HILL CITY
State KS
ZIP 67642
Phone 7854212121
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/18/2025
Certificate Expiration Date 10/17/2027
Facility Type Hospital
Lab Director ROGER V. DIETZ

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