17D0453241 CLIA NUMBER - MINNEOLA COMMUNITY CLINIC

Laboratory Demographics

  • CLIA Code: 17D0453241
  • Facility Name: MINNEOLA COMMUNITY CLINIC
  • Facility Address: 222 MAIN
    MINNEOLA, KS
    ZIP 67865
  • Facility Phone: 620 885-4202
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANTHONY D. LUNA MD
  • NPI Number: 1811086093
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 17D0453241
LAB Type Physician Office
Facility Name MINNEOLA COMMUNITY CLINIC
Street 222 MAIN
City MINNEOLA
State KS
ZIP 67865
Phone 620 885-4202
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2024
Certificate Expiration Date 5/10/2026
Facility Type Physician Office
Lab Director ANTHONY D. LUNA MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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