17D0664889 CLIA NUMBER - GRAY COUNTY HEALTH DEPT

Laboratory Demographics

  • CLIA Code: 17D0664889
  • Facility Name: GRAY COUNTY HEALTH DEPT
  • Facility Address: 300 S MAIN BOX 487
    CIMARRON, KS
    ZIP 67835
  • Facility Phone: 620 855-2424
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: RAYNA MADDOX
  • NPI Number: 1710957089
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 17D0664889
LAB Type Community Clinic
Facility Name GRAY COUNTY HEALTH DEPT
Street 300 S MAIN BOX 487
City CIMARRON
State KS
ZIP 67835
Phone 620 855-2424
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 Community Clinic
Lab Director RAYNA MADDOX

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