17D0453143 CLIA NUMBER - TRINITY MANOR

Laboratory Demographics

  • CLIA Code: 17D0453143
  • Facility Name: TRINITY MANOR
  • Facility Address: 510 W FRONTVIEW
    DODGE CITY, KS
    ZIP 67801
  • Facility Phone: 620 227-8551
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: RHONDA EISEL
  • NPI Number: 1497019749
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 17D0453143
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name TRINITY MANOR
Street 510 W FRONTVIEW
City DODGE CITY
State KS
ZIP 67801
Phone 620 227-8551
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2025
Certificate Expiration Date 6/19/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director RHONDA EISEL

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