17D1100631 CLIA NUMBER - AMBERWELL OCCUPATIONAL HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 17D1100631
  • Facility Name: AMBERWELL OCCUPATIONAL HEALTH SERVICES
  • Facility Address: 820 RAVEN HILL DRIVE SUITE 104
    ATCHISON, KS
    ZIP 66002
  • Facility Phone: (913) 360-5829
  • Facility Type: Industrial
  • Facility Type: Waiver
  • Lab Director: RYAN THOMAS
  • NPI Number: 1609244508
  • Taxonomy: 2083X0100X - Preventive Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 17D1100631
LAB Type Industrial
Facility Name AMBERWELL OCCUPATIONAL HEALTH SERVICES
Street 820 RAVEN HILL DRIVE SUITE 104
City ATCHISON
State KS
ZIP 66002
Phone 9133605829
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2025
Certificate Expiration Date 6/8/2027
Facility Type Industrial
Lab Director RYAN THOMAS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026