17D0966033 CLIA NUMBER - WHEATRIDGE PARK CARE CENTER

Laboratory Demographics

  • CLIA Code: 17D0966033
  • Facility Name: WHEATRIDGE PARK CARE CENTER
  • Facility Address: 1501 SOUTH HOLLY DRIVE
    LIBERAL, KS
    ZIP 67901
  • Facility Phone: 620 624-0130
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JOSIE MUELLER
  • NPI Number: 1013309830
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 17D0966033
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WHEATRIDGE PARK CARE CENTER
Street 1501 SOUTH HOLLY DRIVE
City LIBERAL
State KS
ZIP 67901
Phone 620 624-0130
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2025
Certificate Expiration Date 10/5/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JOSIE MUELLER

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