17D2014879 CLIA NUMBER - FT SCOTT SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 17D2014879
  • Facility Name: FT SCOTT SURGERY CENTER LLC
  • Facility Address: 918 HWY 69
    FORT SCOTT, KS
    ZIP 66701
  • Facility Phone: 620 223-0200
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: AARON R. FLORKOWSKI
  • NPI Number: 1497362628
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 17D2014879
LAB Type Ambulatory Surgery Center
Facility Name FT SCOTT SURGERY CENTER LLC
Street 918 HWY 69
City FORT SCOTT
State KS
ZIP 66701
Phone 620 223-0200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2024
Certificate Expiration Date 10/17/2026
Facility Type Ambulatory Surgery Center
Lab Director AARON R. FLORKOWSKI

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