17D1098762 CLIA NUMBER - KNOLL CLINIC

Laboratory Demographics

CLIA Number: 17D1098762

Facility Name: KNOLL CLINIC

Facility Address:
1100 E 22ND ST
HAYS, KS
ZIP 67601
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Facility Phone Number: 785 625-5500

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1922249903

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	17D1098762
LAB Type	Physician Office
Facility Name	KNOLL CLINIC
Street	1100 E 22ND ST
City	HAYS
State	KS
ZIP	67601
Phone	785 625-5500
CertificateType	4
CertificateEffectiveDate	4/27/2023
CertificateExpirationDate	4/26/2025
FacilityType	Waiver

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