17D0863630 CLIA NUMBER - JAMES R LARZALERE MD

Laboratory Demographics

  • CLIA Code: 17D0863630
  • Facility Name: JAMES R LARZALERE MD
  • Facility Address: 1233 NORTH MAIN
    MCPHERSON, KS
    ZIP 67460
  • Facility Phone: 620 241-4272
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JAMES K. LARZALERE
  • NPI Number: 1184690695
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 17D0863630
LAB Type Physician Office
Facility Name JAMES R LARZALERE MD
Street 1233 NORTH MAIN
City MCPHERSON
State KS
ZIP 67460
Phone 620 241-4272
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/2/2024
Certificate Expiration Date 8/1/2026
Facility Type Physician Office
Lab Director JAMES K. LARZALERE

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