17D2035956 CLIA NUMBER - JEFFERSON MEDICAL CLINIC OF WINCHESTER

Laboratory Demographics

  • CLIA Code: 17D2035956
  • Facility Name: JEFFERSON MEDICAL CLINIC OF WINCHESTER
  • Facility Address: 408 DELAWARE ST
    WINCHESTER, KS
    ZIP 66097
  • Facility Phone: 844 536-9449
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHELSEA D. WILLIS
  • NPI Number: 1447660360
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D2035956
LAB Type Physician Office
Facility Name JEFFERSON MEDICAL CLINIC OF WINCHESTER
Street 408 DELAWARE ST
City WINCHESTER
State KS
ZIP 66097
Phone 844 536-9449
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2024
Certificate Expiration Date 12/31/2025
Facility Type Physician Office
Lab Director CHELSEA D. WILLIS

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