17D1100449 CLIA NUMBER - RIVERCROSS HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 17D1100449
  • Facility Name: RIVERCROSS HOSPICE, LLC
  • Facility Address: 611 E WILLIAM ST
    WICHITA, KS
    ZIP 67202
  • Facility Phone: 316 260-9690
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: MARK ROWE
  • NPI Number: 1013157825
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 17D1100449
LAB Type Hospice
Facility Name RIVERCROSS HOSPICE, LLC
Street 611 E WILLIAM ST
City WICHITA
State KS
ZIP 67202
Phone 316 260-9690
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/5/2025
Certificate Expiration Date 6/4/2027
Facility Type Hospice
Lab Director MARK ROWE

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