17D0890193 CLIA NUMBER - ATCHISON SENIOR VILLAGE REHABILITATION AND NURSING CENTER

Laboratory Demographics

  • CLIA Code: 17D0890193
  • Facility Name: ATCHISON SENIOR VILLAGE REHABILITATION AND NURSING CENTER
  • Facility Address: 1419 N 6TH STREET
    ATCHISON, KS
    ZIP 66002
  • Facility Phone: 913 367-1906
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TYLER DARLAND
  • NPI Number: 1134284680
  • Taxonomy: 251J00000X - Nursing Care

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CLIA Record

Field Name Field Value
CLIA Number 17D0890193
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ATCHISON SENIOR VILLAGE REHABILITATION AND NURSING CENTER
Street 1419 N 6TH STREET
City ATCHISON
State KS
ZIP 66002
Phone 913 367-1906
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2024
Certificate Expiration Date 8/14/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director TYLER DARLAND

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