17D0648305 CLIA NUMBER - VILLA MARIA INC

Laboratory Demographics

  • CLIA Code: 17D0648305
  • Facility Name: VILLA MARIA INC
  • Facility Address: 116 S CENTRAL
    MULVANE, KS
    ZIP 67110
  • Facility Phone: 316 777-1129
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DAVID R. MUELLER
  • NPI Number: 1366438657
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 17D0648305
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name VILLA MARIA INC
Street 116 S CENTRAL
City MULVANE
State KS
ZIP 67110
Phone 316 777-1129
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 Skilled Nursing Facility/Nursing Facility
Lab Director DAVID R. MUELLER

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