17D0706914 CLIA NUMBER - COMANCHE COUNTY MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 17D0706914
  • Facility Name: COMANCHE COUNTY MEDICAL CLINIC
  • Facility Address: 301 S WASHINGTON
    COLDWATER, KS
    ZIP 67029
  • Facility Phone: 620 582-2136
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MELANIE S. DUNN ARNP-C
  • NPI Number: 1891710703
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D0706914
LAB Type Physician Office
Facility Name COMANCHE COUNTY MEDICAL CLINIC
Street 301 S WASHINGTON
City COLDWATER
State KS
ZIP 67029
Phone 620 582-2136
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2024
Certificate Expiration Date 5/12/2026
Facility Type Physician Office
Lab Director MELANIE S. DUNN ARNP-C

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