17D0704557 CLIA NUMBER - MEDICALODGE OF COLUMBUS

Laboratory Demographics

  • CLIA Code: 17D0704557
  • Facility Name: MEDICALODGE OF COLUMBUS
  • Facility Address: 101 NORTH LEE, PO BOX 351
    COLUMBUS, KS
    ZIP 66725
  • Facility Phone: 620 429-2134
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: AMY HIGGINS, RN
  • NPI Number: 1609963578
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 17D0704557
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MEDICALODGE OF COLUMBUS
Street 101 NORTH LEE, PO BOX 351
City COLUMBUS
State KS
ZIP 66725
Phone 620 429-2134
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 AMY HIGGINS, RN

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