17D2043991 CLIA NUMBER - TOPEKA DIALYSIS

Laboratory Demographics

  • CLIA Code: 17D2043991
  • Facility Name: TOPEKA DIALYSIS
  • Facility Address: 634 SOUTH WEST MULVANE STREET SUITE 300
    TOPEKA, KS
    ZIP 66606
  • Facility Phone: 785 843-2000
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KEELYN L. ERICSON MD
  • NPI Number: 1962764563
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D2043991
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name TOPEKA DIALYSIS
Street 634 SOUTH WEST MULVANE STREET SUITE 300
City TOPEKA
State KS
ZIP 66606
Phone 785 843-2000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2024
Certificate Expiration Date 7/15/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director KEELYN L. ERICSON MD

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