17D0453236 CLIA NUMBER - MEADE RURAL HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 17D0453236
  • Facility Name: MEADE RURAL HEALTH CLINIC
  • Facility Address: 119 NORTH HART STREET
    MEADE, KS
    ZIP 67864
  • Facility Phone: 620 873-2112
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANDREW SCHOWENGERDT
  • NPI Number: 1558367607
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D0453236
LAB Type Physician Office
Facility Name MEADE RURAL HEALTH CLINIC
Street 119 NORTH HART STREET
City MEADE
State KS
ZIP 67864
Phone 620 873-2112
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/29/2023
Certificate Expiration Date 10/28/2025
Facility Type Physician Office
Lab Director ANDREW SCHOWENGERDT

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This page was last updated on: 6/4/2025