17D1058549 CLIA NUMBER - HEALTHSTAT ONSITE CLINIC AMARR GARAGE DOORS KANSAS PLANT

Laboratory Demographics

CLIA Number: 17D1058549

Facility Name: HEALTHSTAT ONSITE CLINIC AMARR GARAGE DOORS KANSAS PLANT

Facility Address:
3800 GREENWAY CIRCLE
LAWRENCE, KS
ZIP 66046
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Facility Phone Number: 704 529-6161

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1588921761

Taxonomy: 2083P0500X - Preventive Medicine
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.

CLIA Record

Field Name	Field Value
CLIA Number	17D1058549
LAB Type	Other
Facility Name	HEALTHSTAT ONSITE CLINIC AMARR GARAGE DOORS KANSAS PLANT
Street	3800 GREENWAY CIRCLE
City	LAWRENCE
State	KS
ZIP	66046
Phone	704 529-6161
CertificateType	4
CertificateEffectiveDate	9/7/2022
CertificateExpirationDate	9/6/2024
FacilityType	Waiver

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