17D0669216 CLIA NUMBER - LINCOLN COUNTY HEALTH DEPARTMENT

Laboratory Demographics

CLIA Number: 17D0669216

Facility Name: LINCOLN COUNTY HEALTH DEPARTMENT

Facility Address:
114 W COURT STREET
LINCOLN, KS
ZIP 67455
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Facility Phone Number: 785 524-4406

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1497722110

Taxonomy: 251K00000X - Public Health or Welfare

CLIA Record

Field Name	Field Value
CLIA Number	17D0669216
LAB Type	Community Clinic
Facility Name	LINCOLN COUNTY HEALTH DEPARTMENT
Street	114 W COURT STREET
City	LINCOLN
State	KS
ZIP	67455
Phone	785 524-4406
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