17D1075580 CLIA NUMBER - ASCENSION VIA CHRISTI EPILEPSY CENTER

Laboratory Demographics

CLIA Number: 17D1075580

Facility Name: ASCENSION VIA CHRISTI EPILEPSY CENTER

Facility Address:
848 N ST FRANCIS, SUITES 3949/3901
WICHITA, KS
ZIP 67214
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Facility Phone Number: 316 268-8500

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1871589333

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	17D1075580
LAB Type	Physician Office
Facility Name	ASCENSION VIA CHRISTI EPILEPSY CENTER
Street	848 N ST FRANCIS, SUITES 3949/3901
City	WICHITA
State	KS
ZIP	67214
Phone	316 268-8500
CertificateType	4
CertificateEffectiveDate	10/23/2023
CertificateExpirationDate	10/22/2025
FacilityType	Waiver

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