17D0689170 CLIA NUMBER - CHERRYVALE EMERGENCY SERVICE

Laboratory Demographics

  • CLIA Code: 17D0689170
  • Facility Name: CHERRYVALE EMERGENCY SERVICE
  • Facility Address: 116 SOUTH NEOSHO
    CHERRYVALE, KS
    ZIP 67335
  • Facility Phone: 620 336-2121
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: STANLEY W. GREGORY
  • NPI Number: 1720187461
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 17D0689170
LAB Type Ambulance
Facility Name CHERRYVALE EMERGENCY SERVICE
Street 116 SOUTH NEOSHO
City CHERRYVALE
State KS
ZIP 67335
Phone 620 336-2121
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 Ambulance
Lab Director STANLEY W. GREGORY

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