17D0665439 CLIA NUMBER - GRANT COUNTY HEALTH DEPARTMENT

Laboratory Demographics

  • CLIA Code: 17D0665439
  • Facility Name: GRANT COUNTY HEALTH DEPARTMENT
  • Facility Address: 105 SOUTH GLENN
    ULYSSES, KS
    ZIP 67880
  • Facility Phone: 620 356-1545
  • Facility Type: Other
  • Facility Type: Microscopy
  • Lab Director: DOUGLAS E. JOHNSON, DO
  • NPI Number: 1043257850
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 17D0665439
LAB Type Other
Facility Name GRANT COUNTY HEALTH DEPARTMENT
Street 105 SOUTH GLENN
City ULYSSES
State KS
ZIP 67880
Phone 620 356-1545
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/31/2025
Certificate Expiration Date 8/30/2027
Facility Type Other
Lab Director DOUGLAS E. JOHNSON, DO

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