17D1103744 CLIA NUMBER - HEARTSPRING

Laboratory Demographics

CLIA Code: 17D1103744
Facility Name: HEARTSPRING
Facility Address: 8700 EAST 29TH STREET NORTH
WICHITA, KS
ZIP 67226
Facility Phone: (316) 634-8731
Facility Type: Physician Office
Facility Type: Waiver
Lab Director: CHELSEA R. SCHROEDER
NPI Number: 1386729143
Taxonomy: 320600000X - Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	17D1103744
LAB Type	Physician Office
Facility Name	HEARTSPRING
Street	8700 EAST 29TH STREET NORTH
City	WICHITA
State	KS
ZIP	67226
Phone	3166348731
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	7/29/2024
Certificate Expiration Date	7/28/2026
Facility Type	Physician Office
Lab Director	CHELSEA R. SCHROEDER

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