17D0908270 CLIA NUMBER - PRAIRIE VIEW

Laboratory Demographics

  • CLIA Code: 17D0908270
  • Facility Name: PRAIRIE VIEW
  • Facility Address: 1901 E FIRST ST
    NEWTON, KS
    ZIP 67114
  • Facility Phone: 316 284-6400
  • Facility Type: Other - CMHC/CCBHC
  • Facility Type: Waiver
  • Lab Director: MELINDA BASS
  • NPI Number: 1306059662
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 17D0908270
LAB Type Other - CMHC/CCBHC
Facility Name PRAIRIE VIEW
Street 1901 E FIRST ST
City NEWTON
State KS
ZIP 67114
Phone 316 284-6400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2023
Certificate Expiration Date 11/1/2025
Facility Type Other - CMHC/CCBHC
Lab Director MELINDA BASS

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