17D0864034 CLIA NUMBER - USD 396

Laboratory Demographics

  • CLIA Code: 17D0864034
  • Facility Name: USD 396
  • Facility Address: 921 EAST 1ST STREET
    DOUGLASS, KS
    ZIP 67039
  • Facility Phone: 316 746-2183
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: DIANE MARTENEY RN
  • NPI Number: 1013240183
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 17D0864034
LAB Type School/Student Health Service
Facility Name USD 396
Street 921 EAST 1ST STREET
City DOUGLASS
State KS
ZIP 67039
Phone 316 746-2183
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 School/Student Health Service
Lab Director DIANE MARTENEY RN

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