17D1044765 CLIA NUMBER - PRIMARY CARE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 17D1044765
  • Facility Name: PRIMARY CARE ASSOCIATES
  • Facility Address: 7111 E 21ST ST N, STE A ATTN CHARLENE BUI- PRACTICE ADMINISTRATOR
    WICHITA, KS
    ZIP 67206
  • Facility Phone: 316 219-8419
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: MARK LEIKER
  • NPI Number: 1003832403
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 17D1044765
LAB Type Physician Office
Facility Name PRIMARY CARE ASSOCIATES
Street 7111 E 21ST ST N, STE A ATTN CHARLENE BUI- PRACTICE ADMINISTRATOR
City WICHITA
State KS
ZIP 67206
Phone 316 219-8419
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 7/13/2024
Certificate Expiration Date 7/12/2026
Facility Type Physician Office
Lab Director MARK LEIKER

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