17D0452989 CLIA NUMBER - WHEATLAND NURSING CENTER

Laboratory Demographics

  • CLIA Code: 17D0452989
  • Facility Name: WHEATLAND NURSING CENTER
  • Facility Address: 320 S LINCOLN
    RUSSELL, KS
    ZIP 67665
  • Facility Phone: 785 483-5364
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MICHELLE CROCKER
  • NPI Number: 1790783496
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 17D0452989
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WHEATLAND NURSING CENTER
Street 320 S LINCOLN
City RUSSELL
State KS
ZIP 67665
Phone 785 483-5364
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 MICHELLE CROCKER

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