17D0453223 CLIA NUMBER - STANTON COUNTY CLINIC

Laboratory Demographics

  • CLIA Code: 17D0453223
  • Facility Name: STANTON COUNTY CLINIC
  • Facility Address: 101 EAST GREENWOOD AVENUE
    JOHNSON, KS
    ZIP 67855
  • Facility Phone: 620 492-6230
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: WILLIAM R. TROUP
  • NPI Number: 1871695973
  • Taxonomy: 282NC0060X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 17D0453223
LAB Type Physician Office
Facility Name STANTON COUNTY CLINIC
Street 101 EAST GREENWOOD AVENUE
City JOHNSON
State KS
ZIP 67855
Phone 620 492-6230
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 1/10/2025
Certificate Expiration Date 1/9/2027
Facility Type Physician Office
Lab Director WILLIAM R. TROUP

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