17D2043990 CLIA NUMBER - INTERIM HEALTHCARE OF TOPEKA

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Laboratory Demographics

CLIA Number: 17D2043990

Facility Name: INTERIM HEALTHCARE OF TOPEKA

Facility Address:
1251 SOUTH WEST ARROWHEAD, SUITE 103
TOPEKA, KS
ZIP 66604
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Facility Phone Number: 785 272-1616

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1821457433

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	17D2043990
LAB Type	Home Health Agency
Facility Name	INTERIM HEALTHCARE OF TOPEKA
Street	1251 SOUTH WEST ARROWHEAD, SUITE 103
City	TOPEKA
State	KS
ZIP	66604
Phone	785 272-1616
CertificateType	4
CertificateEffectiveDate	7/16/2022
CertificateExpirationDate	7/15/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024