17D1002251 CLIA NUMBER - WHEAT RIDGE ACRES

Laboratory Demographics

  • CLIA Code: 17D1002251
  • Facility Name: WHEAT RIDGE ACRES
  • Facility Address: 707 WHEAT RIDGE CIRCLE
    GOODLAND, KS
    ZIP 67735
  • Facility Phone: 785 899-0100
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: ANNA M. MANNIS
  • NPI Number: 1093776171
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 17D1002251
LAB Type Ancillary Testing Site in Health Care Center
Facility Name WHEAT RIDGE ACRES
Street 707 WHEAT RIDGE CIRCLE
City GOODLAND
State KS
ZIP 67735
Phone 785 899-0100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2023
Certificate Expiration Date 11/2/2025
Facility Type Ancillary Testing Site in Health Care Center
Lab Director ANNA M. MANNIS

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