17D0453075 CLIA NUMBER - QUINTER CLINIC

Laboratory Demographics

  • CLIA Code: 17D0453075
  • Facility Name: QUINTER CLINIC
  • Facility Address: 520 W 5TH ST, SUITE 1
    QUINTER, KS
    ZIP 67752
  • Facility Phone: 785 754-3333
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DOUGLAS GRUENBACHER
  • NPI Number: 1265485403
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 17D0453075
LAB Type Physician Office
Facility Name QUINTER CLINIC
Street 520 W 5TH ST, SUITE 1
City QUINTER
State KS
ZIP 67752
Phone 785 754-3333
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Physician Office
Lab Director DOUGLAS GRUENBACHER

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