17D0648398 CLIA NUMBER - MANOR OF THE PLAINS

Laboratory Demographics

  • CLIA Code: 17D0648398
  • Facility Name: MANOR OF THE PLAINS
  • Facility Address: 200 CAMPUS DRIVE
    DODGE CITY, KS
    ZIP 67801
  • Facility Phone: 620 225-1928
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JERRY KORBE
  • NPI Number: 1346344660
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 17D0648398
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MANOR OF THE PLAINS
Street 200 CAMPUS DRIVE
City DODGE CITY
State KS
ZIP 67801
Phone 620 225-1928
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 JERRY KORBE

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