17D0871051 CLIA NUMBER - WYANDOTTE COUNTY DETENTION CENTER

Laboratory Demographics

CLIA Number: 17D0871051

Facility Name: WYANDOTTE COUNTY DETENTION CENTER

Facility Address:
710 NORTH 7TH STREET
KANSAS CITY, KS
ZIP 66101
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Facility Phone Number: 913 573-2865

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1386158335

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	17D0871051
LAB Type	Other
Facility Name	WYANDOTTE COUNTY DETENTION CENTER
Street	710 NORTH 7TH STREET
City	KANSAS CITY
State	KS
ZIP	66101
Phone	913 573-2865
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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