17D0972571 CLIA NUMBER - VINTAGE PARK AT BALDWIN CITY

Laboratory Demographics

  • CLIA Code: 17D0972571
  • Facility Name: VINTAGE PARK AT BALDWIN CITY
  • Facility Address: 321 CRIMSON AVE
    BALDWIN CITY, KS
    ZIP 66006
  • Facility Phone: 785 594-4255
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: PATRICIA HILL
  • NPI Number: 1366816563
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 17D0972571
LAB Type Assisted Living Facility
Facility Name VINTAGE PARK AT BALDWIN CITY
Street 321 CRIMSON AVE
City BALDWIN CITY
State KS
ZIP 66006
Phone 785 594-4255
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2024
Certificate Expiration Date 4/10/2026
Facility Type Assisted Living Facility
Lab Director PATRICIA HILL

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