17D0972967 CLIA NUMBER - PROTECTION VALLEY MANOR, INC

Laboratory Demographics

  • CLIA Code: 17D0972967
  • Facility Name: PROTECTION VALLEY MANOR, INC
  • Facility Address: 600 S BROADWAY
    PROTECTION, KS
    ZIP 67127
  • Facility Phone: 620 622-4261
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SANDRA CLINE
  • NPI Number: 1447335344
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 17D0972967
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PROTECTION VALLEY MANOR, INC
Street 600 S BROADWAY
City PROTECTION
State KS
ZIP 67127
Phone 620 622-4261
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2024
Certificate Expiration Date 4/23/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SANDRA CLINE

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