17D1066597 CLIA NUMBER - HAMILTON COUNTY FAMILY PRACTICE CLINIC

Laboratory Demographics

  • CLIA Code: 17D1066597
  • Facility Name: HAMILTON COUNTY FAMILY PRACTICE CLINIC
  • Facility Address: 700 NORTH HUSER
    SYRACUSE, KS
    ZIP 67878
  • Facility Phone: 620 384-6907
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRUCE MELIN, MD
  • NPI Number: 1497879548
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D1066597
LAB Type Physician Office
Facility Name HAMILTON COUNTY FAMILY PRACTICE CLINIC
Street 700 NORTH HUSER
City SYRACUSE
State KS
ZIP 67878
Phone 620 384-6907
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2024
Certificate Expiration Date 2/8/2026
Facility Type Physician Office
Lab Director BRUCE MELIN, MD

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