17D1048102 CLIA NUMBER - NMRMC FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 17D1048102

Facility Name: NMRMC FAMILY MEDICINE

Facility Address:
1501 WEST 7TH ST
CHANUTE, KS
ZIP 66720
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Facility Phone Number: 620 432-5588

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1497121735

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	17D1048102
LAB Type	Physician Office
Facility Name	NMRMC FAMILY MEDICINE
Street	1501 WEST 7TH ST
City	CHANUTE
State	KS
ZIP	66720
Phone	620 432-5588
CertificateType	4
CertificateEffectiveDate	6/26/2023
CertificateExpirationDate	6/25/2025
FacilityType	Waiver

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