17D0901276 CLIA NUMBER - MEDICALODGES KINSLEY

Laboratory Demographics

  • CLIA Code: 17D0901276
  • Facility Name: MEDICALODGES KINSLEY
  • Facility Address: 620 WINCHESTER
    KINSLEY, KS
    ZIP 67547
  • Facility Phone: (620) 659-2156
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ROBERT WRAY MD
  • NPI Number: 1427136886
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D0901276
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MEDICALODGES KINSLEY
Street 620 WINCHESTER
City KINSLEY
State KS
ZIP 67547
Phone 6206592156
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2025
Certificate Expiration Date 5/21/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ROBERT WRAY MD

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This page was last updated on: 5/18/2026