17D0906649 CLIA NUMBER - FORT SCOTT PRESBYTERIAN VILLAGE

Laboratory Demographics

  • CLIA Code: 17D0906649
  • Facility Name: FORT SCOTT PRESBYTERIAN VILLAGE
  • Facility Address: 2401 S HORTON
    FORT SCOTT, KS
    ZIP 66701
  • Facility Phone: 620 223-5550
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LORI L. COLLIER, RN
  • NPI Number: 1851402275
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 17D0906649
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name FORT SCOTT PRESBYTERIAN VILLAGE
Street 2401 S HORTON
City FORT SCOTT
State KS
ZIP 66701
Phone 620 223-5550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2025
Certificate Expiration Date 10/2/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director LORI L. COLLIER, RN

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