17D0648260 CLIA NUMBER - RENAL CARE GROUP CHANUTE

Laboratory Demographics

  • CLIA Code: 17D0648260
  • Facility Name: RENAL CARE GROUP CHANUTE
  • Facility Address: 703 S PLUMMER AVE
    CHANUTE, KS
    ZIP 66720
  • Facility Phone: 620 431-1239
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: CHRISTINA D. PEREZ
  • NPI Number: 1437435526
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D0648260
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RENAL CARE GROUP CHANUTE
Street 703 S PLUMMER AVE
City CHANUTE
State KS
ZIP 66720
Phone 620 431-1239
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director CHRISTINA D. PEREZ

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