17D0935837 CLIA NUMBER - LAWRENCE MEMORIAL HOSP

Laboratory Demographics

  • CLIA Code: 17D0935837
  • Facility Name: LAWRENCE MEMORIAL HOSP
  • Facility Address: 325 MAINE STREET
    LAWRENCE, KS
    ZIP 66044
  • Facility Phone: 785 505-6224
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: MICHAEL PROCHASKA
  • NPI Number: 1164747598
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 17D0935837
LAB Type Hospital
Facility Name LAWRENCE MEMORIAL HOSP
Street 325 MAINE STREET
City LAWRENCE
State KS
ZIP 66044
Phone 785 505-6224
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2023
Certificate Expiration Date 11/6/2025
Facility Type Hospital
Lab Director MICHAEL PROCHASKA

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