17D0667046 CLIA NUMBER - STANTON COUNTY HEALTH DEPATMENT

Laboratory Demographics

  • CLIA Code: 17D0667046
  • Facility Name: STANTON COUNTY HEALTH DEPATMENT
  • Facility Address: 114 N MAIN ST
    JOHNSON, KS
    ZIP 67855
  • Facility Phone: (620) 492-6443
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: RUTH A. WALKER RN
  • NPI Number: 1225167414
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 17D0667046
LAB Type Community Clinic
Facility Name STANTON COUNTY HEALTH DEPATMENT
Street 114 N MAIN ST
City JOHNSON
State KS
ZIP 67855
Phone 6204926443
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 RUTH A. WALKER RN

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This page was last updated on: 5/18/2026