17D1006889 CLIA NUMBER - TRI-KO, INC

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Field Name	Field Value
CLIA Number	17D1006889
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	TRI-KO, INC
Street	301 FIRST ST
City	OSAWATOMIE
State	KS
ZIP	66064
Phone	913 755-3025
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	12/3/2024
Certificate Expiration Date	12/2/2026
Facility Type	Intermediate Care Facility for Mentally Retarded
Lab Director	HOLLY S. DAVIS

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