17D0960163 CLIA NUMBER - WOMAN'S PLACE, PA,THE

Laboratory Demographics

  • CLIA Code: 17D0960163
  • Facility Name: WOMAN'S PLACE, PA,THE
  • Facility Address: 1818 E 23RD AVENUE
    HUTCHINSON, KS
    ZIP 67502
  • Facility Phone: 620 662-2229
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ANN M. HENTZEN PAGE MD
  • NPI Number: 1083638639
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 17D0960163
LAB Type Physician Office
Facility Name WOMAN'S PLACE, PA,THE
Street 1818 E 23RD AVENUE
City HUTCHINSON
State KS
ZIP 67502
Phone 620 662-2229
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 7/7/2024
Certificate Expiration Date 7/6/2026
Facility Type Physician Office
Lab Director ANN M. HENTZEN PAGE MD

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