17D0699883 CLIA NUMBER - COMMONSPIRIT MEDICAL GROUP WOMEN'S HEALTH GARDEN CITY

Laboratory Demographics

  • CLIA Code: 17D0699883
  • Facility Name: COMMONSPIRIT MEDICAL GROUP WOMEN'S HEALTH GARDEN CITY
  • Facility Address: 310 E WALNUT, SUITE 101
    GARDEN CITY, KS
    ZIP 67846
  • Facility Phone: 620 175-9752
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JAMES ZAUCHE
  • NPI Number: 1740333509
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 17D0699883
LAB Type Physician Office
Facility Name COMMONSPIRIT MEDICAL GROUP WOMEN'S HEALTH GARDEN CITY
Street 310 E WALNUT, SUITE 101
City GARDEN CITY
State KS
ZIP 67846
Phone 620 175-9752
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type Physician Office
Lab Director JAMES ZAUCHE

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