17D0452961 CLIA NUMBER - PHILLIPS COUNTY RETIREMENT CENTER

Laboratory Demographics

  • CLIA Code: 17D0452961
  • Facility Name: PHILLIPS COUNTY RETIREMENT CENTER
  • Facility Address: 1300 STATE STREET
    PHILLIPSBURG, KS
    ZIP 67661
  • Facility Phone: 785 543-2131
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DOAK DOLITTLE
  • NPI Number: 1477685162
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 17D0452961
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PHILLIPS COUNTY RETIREMENT CENTER
Street 1300 STATE STREET
City PHILLIPSBURG
State KS
ZIP 67661
Phone 785 543-2131
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 DOAK DOLITTLE

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