17D0911509 CLIA NUMBER - MIDLAND CARE CONNECTION, INC

Laboratory Demographics

CLIA Code: 17D0911509
Facility Name: MIDLAND CARE CONNECTION, INC
Facility Address: 200 SW FRAZIER CIRCLE
TOPEKA, KS
ZIP 66606
Facility Phone: 785 232-2044
Facility Type: Other - PACE
Facility Type: Waiver
Lab Director: SHAWN SULLIVAN
NPI Number: 1053911875
Taxonomy: 251T00000X - Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

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CLIA Record

Field Name	Field Value
CLIA Number	17D0911509
LAB Type	Other - PACE
Facility Name	MIDLAND CARE CONNECTION, INC
Street	200 SW FRAZIER CIRCLE
City	TOPEKA
State	KS
ZIP	66606
Phone	785 232-2044
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	2/8/2024
Certificate Expiration Date	2/7/2026
Facility Type	Other - PACE
Lab Director	SHAWN SULLIVAN

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