17D0876730 CLIA NUMBER - MEDICALODGES EUDORA

Laboratory Demographics

  • CLIA Code: 17D0876730
  • Facility Name: MEDICALODGES EUDORA
  • Facility Address: 1415 MAPLE
    EUDORA, KS
    ZIP 66025
  • Facility Phone: 785 542-2176
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: PETER BOCK
  • NPI Number: 1700067279
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 17D0876730
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MEDICALODGES EUDORA
Street 1415 MAPLE
City EUDORA
State KS
ZIP 66025
Phone 785 542-2176
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2025
Certificate Expiration Date 9/23/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director PETER BOCK

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