17D0978235 CLIA NUMBER - USD461

Laboratory Demographics

  • CLIA Code: 17D0978235
  • Facility Name: USD461
  • Facility Address: 522 WISCONSIN
    NEODESHA, KS
    ZIP 66757
  • Facility Phone: 620 325-3015
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: JILL D. WALLACE
  • NPI Number: 1659504926
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 17D0978235
LAB Type School/Student Health Service
Facility Name USD461
Street 522 WISCONSIN
City NEODESHA
State KS
ZIP 66757
Phone 620 325-3015
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2025
Certificate Expiration Date 10/17/2027
Facility Type School/Student Health Service
Lab Director JILL D. WALLACE

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