17D2043997 CLIA NUMBER - SABETHA DIALYSIS

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Laboratory Demographics

CLIA Number: 17D2043997

Facility Name: SABETHA DIALYSIS

Facility Address:
106 NORTH 12TH STREET
SABETHA, KS
ZIP 66534
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Facility Phone Number: 785 242-5300

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1629330139

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	17D2043997
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	SABETHA DIALYSIS
Street	106 NORTH 12TH STREET
City	SABETHA
State	KS
ZIP	66534
Phone	785 242-5300
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