17D0940722 CLIA NUMBER - ASHLAND HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 17D0940722
  • Facility Name: ASHLAND HEALTH CLINIC
  • Facility Address: 625 S KENTUCKY
    ASHLAND, KS
    ZIP 67831
  • Facility Phone: 620 635-2222
  • Facility Type: Rural Health Clinic
  • Facility Type: Microscopy
  • Lab Director: DARENDA BERRYMAN
  • NPI Number: 1659466357
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D0940722
LAB Type Rural Health Clinic
Facility Name ASHLAND HEALTH CLINIC
Street 625 S KENTUCKY
City ASHLAND
State KS
ZIP 67831
Phone 620 635-2222
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 2/16/2024
Certificate Expiration Date 2/15/2026
Facility Type Rural Health Clinic
Lab Director DARENDA BERRYMAN

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