17D1055762 CLIA NUMBER - ELLIS FAMILY CARE CENTER

Laboratory Demographics

  • CLIA Code: 17D1055762
  • Facility Name: ELLIS FAMILY CARE CENTER
  • Facility Address: 1000 WASHINGTON STREET
    ELLIS, KS
    ZIP 67637
  • Facility Phone: 785 726-4956
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: KATIE FLORES-BAILEY
  • NPI Number: 1194830679
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D1055762
LAB Type Rural Health Clinic
Facility Name ELLIS FAMILY CARE CENTER
Street 1000 WASHINGTON STREET
City ELLIS
State KS
ZIP 67637
Phone 785 726-4956
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/26/2024
Certificate Expiration Date 6/25/2026
Facility Type Rural Health Clinic
Lab Director KATIE FLORES-BAILEY

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This page was last updated on: 3/20/2025