17D0901100 CLIA NUMBER - PH ENTERPRISES INC DBA MAG-LAB

Laboratory Demographics

  • CLIA Code: 17D0901100
  • Facility Name: PH ENTERPRISES INC DBA MAG-LAB
  • Facility Address: 200 E CENTENNIAL DRIVE, SUITE 10A
    PITTSBURG, KS
    ZIP 66762
  • Facility Phone: 620 232-1900
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: TODD WULLSCHLEGER
  • NPI Number: 1568561512
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 17D0901100
LAB Type Independent
Facility Name PH ENTERPRISES INC DBA MAG-LAB
Street 200 E CENTENNIAL DRIVE, SUITE 10A
City PITTSBURG
State KS
ZIP 66762
Phone 620 232-1900
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Independent
Lab Director TODD WULLSCHLEGER

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