17D0882810 CLIA NUMBER - MIDWEST ROCKETS HH, LLC DBA HEARTLAND HOME HEALTH-WICHITA

Laboratory Demographics

  • CLIA Code: 17D0882810
  • Facility Name: MIDWEST ROCKETS HH, LLC DBA HEARTLAND HOME HEALTH-WICHITA
  • Facility Address: 2872 NORTH RIDGE ROAD, SUITE 122
    WICHITA, KS
    ZIP 67205
  • Facility Phone: 316 788-7626
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SELECE BEASLEY
  • NPI Number: 1164475836
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 17D0882810
LAB Type Home Health Agency
Facility Name MIDWEST ROCKETS HH, LLC DBA HEARTLAND HOME HEALTH-WICHITA
Street 2872 NORTH RIDGE ROAD, SUITE 122
City WICHITA
State KS
ZIP 67205
Phone 316 788-7626
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/18/2024
Certificate Expiration Date 2/17/2026
Facility Type Home Health Agency
Lab Director SELECE BEASLEY

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