17D0929425 CLIA NUMBER - FRY EYE SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 17D0929425
  • Facility Name: FRY EYE SURGERY CENTER, LLC
  • Facility Address: 411 CAMPUS DRIVE
    GARDEN CITY, KS
    ZIP 67846
  • Facility Phone: (620) 276-7699
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: NIKKI KRAFT
  • NPI Number: 1528080876
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D0929425
LAB Type Ambulatory Surgery Center
Facility Name FRY EYE SURGERY CENTER, LLC
Street 411 CAMPUS DRIVE
City GARDEN CITY
State KS
ZIP 67846
Phone 6202767699
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2025
Certificate Expiration Date 6/12/2027
Facility Type Ambulatory Surgery Center
Lab Director NIKKI KRAFT

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This page was last updated on: 6/29/2026