17D0982582 CLIA NUMBER - SHARON MITCHELL MEDICAL CLINIC LLC

Laboratory Demographics

  • CLIA Code: 17D0982582
  • Facility Name: SHARON MITCHELL MEDICAL CLINIC LLC
  • Facility Address: 13 VILLAGE PLAZA
    LIBERAL, KS
    ZIP 67901
  • Facility Phone: 620 624-0604
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHARON B. MITCHELL
  • NPI Number: 1417145913
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 17D0982582
LAB Type Physician Office
Facility Name SHARON MITCHELL MEDICAL CLINIC LLC
Street 13 VILLAGE PLAZA
City LIBERAL
State KS
ZIP 67901
Phone 620 624-0604
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2025
Certificate Expiration Date 7/14/2027
Facility Type Physician Office
Lab Director SHARON B. MITCHELL

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