17D0957795 CLIA NUMBER - FAMILY MEDICINE OF BALDWIN

Laboratory Demographics

  • CLIA Code: 17D0957795
  • Facility Name: FAMILY MEDICINE OF BALDWIN
  • Facility Address: 406 AMES
    BALDWIN, KS
    ZIP 66006
  • Facility Phone: 785 594-2412
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEVIN E. HUGHES MD
  • NPI Number: 1982011136
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D0957795
LAB Type Physician Office
Facility Name FAMILY MEDICINE OF BALDWIN
Street 406 AMES
City BALDWIN
State KS
ZIP 66006
Phone 785 594-2412
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2025
Certificate Expiration Date 3/1/2027
Facility Type Physician Office
Lab Director KEVIN E. HUGHES MD

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This page was last updated on: 3/20/2025