17D0666010 CLIA NUMBER - ASCENSION MEDICAL GROUP VIA CHRISTI, PA REFLECTION RIDGE

Laboratory Demographics

  • CLIA Code: 17D0666010
  • Facility Name: ASCENSION MEDICAL GROUP VIA CHRISTI, PA REFLECTION RIDGE
  • Facility Address: 8444 WEST 21ST
    WICHITA, KS
    ZIP 67205
  • Facility Phone: 316 268-8185
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TERRI NICKEL
  • NPI Number: 1407986110
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 17D0666010
LAB Type Physician Office
Facility Name ASCENSION MEDICAL GROUP VIA CHRISTI, PA REFLECTION RIDGE
Street 8444 WEST 21ST
City WICHITA
State KS
ZIP 67205
Phone 316 268-8185
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2025
Certificate Expiration Date 9/7/2027
Facility Type Physician Office
Lab Director TERRI NICKEL

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