17D0453070 CLIA NUMBER - DECATUR COUNTY HEALTH DEPARTMENT

Laboratory Demographics

CLIA Number: 17D0453070

Facility Name: DECATUR COUNTY HEALTH DEPARTMENT

Facility Address:
902 WEST COLUMBIA ST
OBERLIN, KS
ZIP 67749
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Facility Phone Number: 785 475-8118

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1033105358

Taxonomy: 251K00000X - Public Health or Welfare

CLIA Record

Field Name	Field Value
CLIA Number	17D0453070
LAB Type	Community Clinic
Facility Name	DECATUR COUNTY HEALTH DEPARTMENT
Street	902 WEST COLUMBIA ST
City	OBERLIN
State	KS
ZIP	67749
Phone	785 475-8118
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024