17D0933726 CLIA NUMBER - COMMUNITY HOSPITAL ONAGA - ST MARYS

Laboratory Demographics

CLIA Number: 17D0933726

Facility Name: COMMUNITY HOSPITAL ONAGA - ST MARYS

Facility Address:
206 GRAND AVENUE
ST MARYS, KS
ZIP 66536
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Facility Phone Number: 785 437-3734

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1275504839

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	17D0933726
LAB Type	Physician Office
Facility Name	COMMUNITY HOSPITAL ONAGA - ST MARYS
Street	206 GRAND AVENUE
City	ST MARYS
State	KS
ZIP	66536
Phone	785 437-3734
CertificateType	2
CertificateEffectiveDate	6/9/2022
CertificateExpirationDate	6/8/2024
FacilityType	Compliance

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This page was last updated on: 4/23/2024