17D0965424 CLIA NUMBER - AUGUSTA FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 17D0965424
  • Facility Name: AUGUSTA FAMILY PRACTICE
  • Facility Address: 1306 STATE STREET
    AUGUSTA, KS
    ZIP 67010
  • Facility Phone: 316 775-9191
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL A. RAUSCH, MD
  • NPI Number: 1619375342
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 17D0965424
LAB Type Physician Office
Facility Name AUGUSTA FAMILY PRACTICE
Street 1306 STATE STREET
City AUGUSTA
State KS
ZIP 67010
Phone 316 775-9191
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2025
Certificate Expiration Date 9/20/2027
Facility Type Physician Office
Lab Director MICHAEL A. RAUSCH, MD

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