17D0668872 CLIA NUMBER - EMPORIA PRESBYTERIAN MANOR

Laboratory Demographics

  • CLIA Code: 17D0668872
  • Facility Name: EMPORIA PRESBYTERIAN MANOR
  • Facility Address: 2300 INDUSTRIAL RD
    EMPORIA, KS
    ZIP 66801
  • Facility Phone: 620 343-2613
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ROGER CLOSSON
  • NPI Number: 1770686123
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 17D0668872
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name EMPORIA PRESBYTERIAN MANOR
Street 2300 INDUSTRIAL RD
City EMPORIA
State KS
ZIP 66801
Phone 620 343-2613
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 Skilled Nursing Facility/Nursing Facility
Lab Director ROGER CLOSSON

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