17D0924852 CLIA NUMBER - PRATT FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 17D0924852
  • Facility Name: PRATT FAMILY PRACTICE
  • Facility Address: 203 WATSON, SUITE 200
    PRATT, KS
    ZIP 67124
  • Facility Phone: 620 672-7422
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: WILLIAM E. CANNATA MD
  • NPI Number: 1740233204
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D0924852
LAB Type Physician Office
Facility Name PRATT FAMILY PRACTICE
Street 203 WATSON, SUITE 200
City PRATT
State KS
ZIP 67124
Phone 620 672-7422
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/10/2025
Certificate Expiration Date 2/9/2027
Facility Type Physician Office
Lab Director WILLIAM E. CANNATA MD

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This page was last updated on: 6/4/2025