17D1030307 CLIA NUMBER - TRES SOLES CLINIC & SPA

Laboratory Demographics

CLIA Number: 17D1030307

Facility Name: TRES SOLES CLINIC & SPA

Facility Address:
503 OREGON STREET
HIAWATHA, KS
ZIP 66434
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Facility Phone Number: 785 544-6889

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1013031947

Taxonomy: 261QH0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	17D1030307
LAB Type	Physician Office
Facility Name	TRES SOLES CLINIC & SPA
Street	503 OREGON STREET
City	HIAWATHA
State	KS
ZIP	66434
Phone	785 544-6889
CertificateType	3
CertificateEffectiveDate	9/2/2022
CertificateExpirationDate	9/1/2024
FacilityType	PPMP

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