17D1105264 CLIA NUMBER - RUPP UROLOGY CLINIC - EMPORIA

Laboratory Demographics

  • CLIA Code: 17D1105264
  • Facility Name: RUPP UROLOGY CLINIC - EMPORIA
  • Facility Address: 1301 WEST 13TH AVENUE SUITE 201
    EMPORIA, KS
    ZIP 66801
  • Facility Phone: (785) 354-7877
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRAD W. RUPP MD
  • NPI Number: 1225283930
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 17D1105264
LAB Type Physician Office
Facility Name RUPP UROLOGY CLINIC - EMPORIA
Street 1301 WEST 13TH AVENUE SUITE 201
City EMPORIA
State KS
ZIP 66801
Phone 7853547877
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2025
Certificate Expiration Date 9/20/2027
Facility Type Physician Office
Lab Director BRAD W. RUPP MD

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