17D0670033 CLIA NUMBER - PHILLIPS COUNTY MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 17D0670033
  • Facility Name: PHILLIPS COUNTY MEDICAL CLINIC
  • Facility Address: 1719 HWY 183
    PHILLIPSBURG, KS
    ZIP 67661
  • Facility Phone: 785 543-5211
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NANCY JOHNSON
  • NPI Number: 1619913613
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D0670033
LAB Type Physician Office
Facility Name PHILLIPS COUNTY MEDICAL CLINIC
Street 1719 HWY 183
City PHILLIPSBURG
State KS
ZIP 67661
Phone 785 543-5211
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 Physician Office
Lab Director NANCY JOHNSON

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