17D2035952 CLIA NUMBER - KANSAS PHYSICIANS GROUP

Laboratory Demographics

  • CLIA Code: 17D2035952
  • Facility Name: KANSAS PHYSICIANS GROUP
  • Facility Address: 2600 N WOODLAWN
    WICHITA, KS
    ZIP 67220
  • Facility Phone: 316 260-1690
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELIZABETH KROEKER
  • NPI Number: 1629232004
  • Taxonomy: 207RI0011X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 17D2035952
LAB Type Physician Office
Facility Name KANSAS PHYSICIANS GROUP
Street 2600 N WOODLAWN
City WICHITA
State KS
ZIP 67220
Phone 316 260-1690
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2024
Certificate Expiration Date 1/26/2026
Facility Type Physician Office
Lab Director ELIZABETH KROEKER

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