17D0684372 CLIA NUMBER - MEDICALODGES FRONTENAC

Laboratory Demographics

  • CLIA Code: 17D0684372
  • Facility Name: MEDICALODGES FRONTENAC
  • Facility Address: 206 SO DITTMAN
    FRONTENAC, KS
    ZIP 66763
  • Facility Phone: (620) 231-7340
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KATY STELL RN DON
  • NPI Number: 1992044184
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 17D0684372
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MEDICALODGES FRONTENAC
Street 206 SO DITTMAN
City FRONTENAC
State KS
ZIP 66763
Phone 6202317340
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 KATY STELL RN DON

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