17D0972058 CLIA NUMBER - PETERSON ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 17D0972058
  • Facility Name: PETERSON ASSISTED LIVING
  • Facility Address: 629 HOLLIDAY ST
    OSAGE CITY, KS
    ZIP 66523
  • Facility Phone: 785 528-3301
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: JULIE T. LAURANCE
  • NPI Number: 1003442062
  • Taxonomy: 310400000X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 17D0972058
LAB Type Other
Facility Name PETERSON ASSISTED LIVING
Street 629 HOLLIDAY ST
City OSAGE CITY
State KS
ZIP 66523
Phone 785 528-3301
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2024
Certificate Expiration Date 3/27/2026
Facility Type Other
Lab Director JULIE T. LAURANCE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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