17D0868748 CLIA NUMBER - KINGMAN COUNTY HEALTH DEPARTMENT

Laboratory Demographics

  • CLIA Code: 17D0868748
  • Facility Name: KINGMAN COUNTY HEALTH DEPARTMENT
  • Facility Address: 125 NORTH SPRUCE
    KINGMAN, KS
    ZIP 67068
  • Facility Phone: 620 532-2221
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: MARY SCHWARTZ
  • NPI Number: 1023068236
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 17D0868748
LAB Type Community Clinic
Facility Name KINGMAN COUNTY HEALTH DEPARTMENT
Street 125 NORTH SPRUCE
City KINGMAN
State KS
ZIP 67068
Phone 620 532-2221
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 Community Clinic
Lab Director MARY SCHWARTZ

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