17D1047101 CLIA NUMBER - SUMMIT SURGICAL LLC

Laboratory Demographics

  • CLIA Code: 17D1047101
  • Facility Name: SUMMIT SURGICAL LLC
  • Facility Address: 1818 E 23RD
    HUTCHINSON, KS
    ZIP 67502
  • Facility Phone: 620 663-4800
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: ANN HENTZEN PAGE
  • NPI Number: 1427072925
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D1047101
LAB Type Hospital
Facility Name SUMMIT SURGICAL LLC
Street 1818 E 23RD
City HUTCHINSON
State KS
ZIP 67502
Phone 620 663-4800
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 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Hospital
Lab Director ANN HENTZEN PAGE

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