17D0984308 CLIA NUMBER - MARQUIS PLACE

Laboratory Demographics

  • CLIA Code: 17D0984308
  • Facility Name: MARQUIS PLACE
  • Facility Address: 205 W 21ST STREET
    CONCORDIA, KS
    ZIP 66901
  • Facility Phone: 785 243-2255
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: KIMBERLY M. BROWNELL, RN
  • NPI Number: 1336360825
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 17D0984308
LAB Type Other
Facility Name MARQUIS PLACE
Street 205 W 21ST STREET
City CONCORDIA
State KS
ZIP 66901
Phone 785 243-2255
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2025
Certificate Expiration Date 3/18/2027
Facility Type Other
Lab Director KIMBERLY M. BROWNELL, RN

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This page was last updated on: 6/4/2025