17D0721494 CLIA NUMBER - AMBERWELL EIGHTH STREET CLINIC

Laboratory Demographics

  • CLIA Code: 17D0721494
  • Facility Name: AMBERWELL EIGHTH STREET CLINIC
  • Facility Address: 801 ATCHISON STREET
    ATCHISON, KS
    ZIP 66002
  • Facility Phone: 913 367-5020
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: NORMA GREEN
  • NPI Number: 1740881929
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D0721494
LAB Type Rural Health Clinic
Facility Name AMBERWELL EIGHTH STREET CLINIC
Street 801 ATCHISON STREET
City ATCHISON
State KS
ZIP 66002
Phone 913 367-5020
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 Rural Health Clinic
Lab Director NORMA GREEN

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