17D2048832 CLIA NUMBER - MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS

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Laboratory Demographics

CLIA Number: 17D2048832

Facility Name: MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS

Facility Address:
1619 K HIGHWAY 66
GALENA, KS
ZIP 66739
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Facility Phone Number: 417 556-6710

Facility Type: Hospital

Certificate Type: Certificate of Compliance

NPI Number: 1992341473

Taxonomy: 284300000X - Special Hospital
A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical.

CLIA Record

Field Name	Field Value
CLIA Number	17D2048832
LAB Type	Hospital
Facility Name	MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS
Street	1619 K HIGHWAY 66
City	GALENA
State	KS
ZIP	66739
Phone	417 556-6710
CertificateType	2
CertificateEffectiveDate	7/2/2023
CertificateExpirationDate	7/1/2025
FacilityType	Compliance

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