17D0706512 CLIA NUMBER - WESTERN KANSAS UROLOGICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 17D0706512
  • Facility Name: WESTERN KANSAS UROLOGICAL ASSOCIATES
  • Facility Address: 2214 CANTERBURY DRIVE, SUITE 308
    HAYS, KS
    ZIP 67601
  • Facility Phone: 785 628-6014
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERNESTO LOPEZ-CORONA
  • NPI Number: 1174769509
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 17D0706512
LAB Type Physician Office
Facility Name WESTERN KANSAS UROLOGICAL ASSOCIATES
Street 2214 CANTERBURY DRIVE, SUITE 308
City HAYS
State KS
ZIP 67601
Phone 785 628-6014
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2024
Certificate Expiration Date 12/16/2026
Facility Type Physician Office
Lab Director ERNESTO LOPEZ-CORONA

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This page was last updated on: 6/4/2025