17D0864867 CLIA NUMBER - GENESIS FAMILY HEALTH

Laboratory Demographics

CLIA Number: 17D0864867

Facility Name: GENESIS FAMILY HEALTH

Facility Address:
712A ST JOHN
GARDEN CITY, KS
ZIP 67846
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Facility Phone Number: 620 271-1766

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1750739710

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	17D0864867
LAB Type	Federally Qualified Health Center
Facility Name	GENESIS FAMILY HEALTH
Street	712A ST JOHN
City	GARDEN CITY
State	KS
ZIP	67846
Phone	620 271-1766
CertificateType	4
CertificateEffectiveDate	10/1/2022
CertificateExpirationDate	9/30/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024