17D1067337 CLIA NUMBER - SNODGRASS MEMORIAL CLINIC LLC

Laboratory Demographics

  • CLIA Code: 17D1067337
  • Facility Name: SNODGRASS MEMORIAL CLINIC LLC
  • Facility Address: 2203 SUMMERLON CIRCLE
    DODGE CITY, KS
    ZIP 67801
  • Facility Phone: 620 408-9700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARCIA A. SNODGRASS
  • NPI Number: 1285019141
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D1067337
LAB Type Physician Office
Facility Name SNODGRASS MEMORIAL CLINIC LLC
Street 2203 SUMMERLON CIRCLE
City DODGE CITY
State KS
ZIP 67801
Phone 620 408-9700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2024
Certificate Expiration Date 9/17/2026
Facility Type Physician Office
Lab Director MARCIA A. SNODGRASS

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