17D0955559 CLIA NUMBER - GRAN VILLAS,THE

Laboratory Demographics

  • CLIA Code: 17D0955559
  • Facility Name: GRAN VILLAS,THE
  • Facility Address: 1635 RILEY STREET
    ATCHISON, KS
    ZIP 66002
  • Facility Phone: 913 367-2077
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: BRENDA NORRIS
  • NPI Number: 1154402147
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 17D0955559
LAB Type Other
Facility Name GRAN VILLAS,THE
Street 1635 RILEY STREET
City ATCHISON
State KS
ZIP 66002
Phone 913 367-2077
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2025
Certificate Expiration Date 1/3/2027
Facility Type Other
Lab Director BRENDA NORRIS

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