17D2043997 CLIA NUMBER - SABETHA DIALYSIS

Laboratory Demographics

  • CLIA Code: 17D2043997
  • Facility Name: SABETHA DIALYSIS
  • Facility Address: 106 NORTH 12TH STREET
    SABETHA, KS
    ZIP 66534
  • Facility Phone: 785 242-5300
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KEELYN L. ERICSON MD
  • NPI Number: 1629330139
  • Taxonomy: 261QE0700X - Clinic/Center

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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
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