17D0666866 CLIA NUMBER - SHERIDAN COUNTY PUBLIC HEALTH

Laboratory Demographics

CLIA Number: 17D0666866

Facility Name: SHERIDAN COUNTY PUBLIC HEALTH

Facility Address:
940 8TH STREET
HOXIE, KS
ZIP 67740
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Facility Phone Number: 785 675-2101

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1205899150

Taxonomy: 251K00000X - Public Health or Welfare

CLIA Record

Field Name	Field Value
CLIA Number	17D0666866
LAB Type	Community Clinic
Facility Name	SHERIDAN COUNTY PUBLIC HEALTH
Street	940 8TH STREET
City	HOXIE
State	KS
ZIP	67740
Phone	785 675-2101
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