17D0708561 CLIA NUMBER - DANIEL J KOEHN MD

Laboratory Demographics

  • CLIA Code: 17D0708561
  • Facility Name: DANIEL J KOEHN MD
  • Facility Address: 2401 SOUTH TUCKER AVE, SUITE 2
    PITTSBURG, KS
    ZIP 66762
  • Facility Phone: 620 235-1043
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIEL J. KOEHN MD
  • NPI Number: 1164528220
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 17D0708561
LAB Type Physician Office
Facility Name DANIEL J KOEHN MD
Street 2401 SOUTH TUCKER AVE, SUITE 2
City PITTSBURG
State KS
ZIP 66762
Phone 620 235-1043
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 Physician Office
Lab Director DANIEL J. KOEHN MD

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