17D2018381 CLIA NUMBER - WASHBURN SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 17D2018381
  • Facility Name: WASHBURN SURGERY CENTER, LLC
  • Facility Address: 619 SW CORPORATE VIEW
    TOPEKA, KS
    ZIP 66615
  • Facility Phone: 785 232-6022
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: NICOLE R. FAGER
  • NPI Number: 1306956818
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D2018381
LAB Type Ambulatory Surgery Center
Facility Name WASHBURN SURGERY CENTER, LLC
Street 619 SW CORPORATE VIEW
City TOPEKA
State KS
ZIP 66615
Phone 785 232-6022
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2025
Certificate Expiration Date 1/3/2027
Facility Type Ambulatory Surgery Center
Lab Director NICOLE R. FAGER

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