17D0938629 CLIA NUMBER - STEVENS COUNTY EMS

Laboratory Demographics

  • CLIA Code: 17D0938629
  • Facility Name: STEVENS COUNTY EMS
  • Facility Address: 109 NW AVENUE
    HUGOTON, KS
    ZIP 67951
  • Facility Phone: 620 544-2562
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: RODNEY KELLING
  • NPI Number: 1063489219
  • Taxonomy: 275N00000X - Medicare Defined Swing Bed Unit

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CLIA Record

Field Name Field Value
CLIA Number 17D0938629
LAB Type Ambulance
Facility Name STEVENS COUNTY EMS
Street 109 NW AVENUE
City HUGOTON
State KS
ZIP 67951
Phone 620 544-2562
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2024
Certificate Expiration Date 1/11/2026
Facility Type Ambulance
Lab Director RODNEY KELLING

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