17D0692743 CLIA NUMBER - GRAHAM COUNTY HOSPITAL CLINIC

Laboratory Demographics

CLIA Number: 17D0692743

Facility Name: GRAHAM COUNTY HOSPITAL CLINIC

Facility Address:
114 EAST WALNUT STREET
HILL CITY, KS
ZIP 67642
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Facility Phone Number: 785 674-2191

Facility Type: Rural Health Clinic

Certificate Type: Microscopy

NPI Number: 1396922233

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name	Field Value
CLIA Number	17D0692743
LAB Type	Rural Health Clinic
Facility Name	GRAHAM COUNTY HOSPITAL CLINIC
Street	114 EAST WALNUT STREET
City	HILL CITY
State	KS
ZIP	67642
Phone	785 674-2191
CertificateType	3
CertificateEffectiveDate	3/8/2024
CertificateExpirationDate	3/7/2026
FacilityType	PPMP

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This page was last updated on: 4/23/2024