17D0977678 CLIA NUMBER - CYPRESS SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 17D0977678
  • Facility Name: CYPRESS SURGERY CENTER
  • Facility Address: 9300 E 29TH ST N, SUITE 100
    WICHITA, KS
    ZIP 67226
  • Facility Phone: 316 634-0404
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DAVID A. GRAINGER, MD
  • NPI Number: 1962455964
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D0977678
LAB Type Ambulatory Surgery Center
Facility Name CYPRESS SURGERY CENTER
Street 9300 E 29TH ST N, SUITE 100
City WICHITA
State KS
ZIP 67226
Phone 316 634-0404
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2025
Certificate Expiration Date 9/10/2027
Facility Type Ambulatory Surgery Center
Lab Director DAVID A. GRAINGER, MD

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