17D0979257 CLIA NUMBER - PARKWOOD VILLAGE

Laboratory Demographics

  • CLIA Code: 17D0979257
  • Facility Name: PARKWOOD VILLAGE
  • Facility Address: 401 ROCHESTER
    PRATT, KS
    ZIP 67124
  • Facility Phone: 620 672-5541
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: KELLI DENNEY RN
  • NPI Number: 1518293109
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 17D0979257
LAB Type Other
Facility Name PARKWOOD VILLAGE
Street 401 ROCHESTER
City PRATT
State KS
ZIP 67124
Phone 620 672-5541
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2024
Certificate Expiration Date 10/16/2026
Facility Type Other
Lab Director KELLI DENNEY RN

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