17D1090213 CLIA NUMBER - SALEM HOME

Laboratory Demographics

  • CLIA Code: 17D1090213
  • Facility Name: SALEM HOME
  • Facility Address: 704 S ASH
    HILLSBORO, KS
    ZIP 67063
  • Facility Phone: 620 947-1449
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JODIE HAMM
  • NPI Number: 1710920764
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 17D1090213
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SALEM HOME
Street 704 S ASH
City HILLSBORO
State KS
ZIP 67063
Phone 620 947-1449
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2024
Certificate Expiration Date 10/5/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JODIE HAMM

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