17D0885652 CLIA NUMBER - LABETTE COUNTY MED CTR HOME CARE

Laboratory Demographics

  • CLIA Code: 17D0885652
  • Facility Name: LABETTE COUNTY MED CTR HOME CARE
  • Facility Address: PO BOX 956 S HWY 59
    PARSONS, KS
    ZIP 67357
  • Facility Phone: 620 820-5144
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: TIMBER BLACK
  • NPI Number: 1508850199
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 17D0885652
LAB Type Home Health Agency
Facility Name LABETTE COUNTY MED CTR HOME CARE
Street PO BOX 956 S HWY 59
City PARSONS
State KS
ZIP 67357
Phone 620 820-5144
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2024
Certificate Expiration Date 4/27/2026
Facility Type Home Health Agency
Lab Director TIMBER BLACK

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