17D0666357 CLIA NUMBER - CHEYENNE COUNTY HEALTH DEPARTMENT

Laboratory Demographics

CLIA Number: 17D0666357

Facility Name: CHEYENNE COUNTY HEALTH DEPARTMENT

Facility Address:
221 W FIRST, BOX 547
ST FRANCIS, KS
ZIP 67756
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Facility Phone Number: 785 332-2381

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1134150659

Taxonomy: 251K00000X - Public Health or Welfare

CLIA Record

Field Name	Field Value
CLIA Number	17D0666357
LAB Type	Community Clinic
Facility Name	CHEYENNE COUNTY HEALTH DEPARTMENT
Street	221 W FIRST, BOX 547
City	ST FRANCIS
State	KS
ZIP	67756
Phone	785 332-2381
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024