17D0985601 CLIA NUMBER - VINTAGE PARK AT ATCHISON

Laboratory Demographics

  • CLIA Code: 17D0985601
  • Facility Name: VINTAGE PARK AT ATCHISON
  • Facility Address: 1301 NORTH 4TH STREET
    ATCHISON, KS
    ZIP 66002
  • Facility Phone: 913 367-2655
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: BRENDA J. NORRIS
  • NPI Number: 1902270101
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 17D0985601
LAB Type Assisted Living Facility
Facility Name VINTAGE PARK AT ATCHISON
Street 1301 NORTH 4TH STREET
City ATCHISON
State KS
ZIP 66002
Phone 913 367-2655
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Assisted Living Facility
Lab Director BRENDA J. NORRIS

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