17D1005645 CLIA NUMBER - HEARTLAND HOSPICE

Laboratory Demographics

CLIA Number: 17D1005645

Facility Name: HEARTLAND HOSPICE

Facility Address:
2231 SW WANAMAKER ROAD SUITE 202
TOPEKA, KS
ZIP 66614
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Facility Phone Number: 785 271-6500

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1962454777

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	17D1005645
LAB Type	Hospice
Facility Name	HEARTLAND HOSPICE
Street	2231 SW WANAMAKER ROAD SUITE 202
City	TOPEKA
State	KS
ZIP	66614
Phone	785 271-6500
CertificateType	4
CertificateEffectiveDate	10/28/2022
CertificateExpirationDate	10/27/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024