17D0988675 CLIA NUMBER - MOUNDRIDGE VALLEY HOPE

Laboratory Demographics

  • CLIA Code: 17D0988675
  • Facility Name: MOUNDRIDGE VALLEY HOPE
  • Facility Address: 200 S AVENUE B
    MOUNDRIDGE, KS
    ZIP 67107
  • Facility Phone: 785 877-5111
  • Facility Type: Other - SUBSTCE USE DISORDR FAC
  • Facility Type: Waiver
  • Lab Director: JEANETTE C. LOCHRIDGE-ECKER
  • NPI Number: 1275569949
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 17D0988675
LAB Type Other - SUBSTCE USE DISORDR FAC
Facility Name MOUNDRIDGE VALLEY HOPE
Street 200 S AVENUE B
City MOUNDRIDGE
State KS
ZIP 67107
Phone 785 877-5111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2025
Certificate Expiration Date 7/2/2027
Facility Type Other - SUBSTCE USE DISORDR FAC
Lab Director JEANETTE C. LOCHRIDGE-ECKER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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