17D1058262 CLIA NUMBER - JUNCTION CITY VA CLINIC

Laboratory Demographics

  • CLIA Code: 17D1058262
  • Facility Name: JUNCTION CITY VA CLINIC
  • Facility Address: 623 SOUTHWIND DRIVE
    JUNCTION CITY, KS
    ZIP 66441
  • Facility Phone: 785 238-4131
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: DANIEL DIM
  • NPI Number: 1174543607
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 17D1058262
LAB Type Community Clinic
Facility Name JUNCTION CITY VA CLINIC
Street 623 SOUTHWIND DRIVE
City JUNCTION CITY
State KS
ZIP 66441
Phone 785 238-4131
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 3/2/2009
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director DANIEL DIM

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