17D2053870 CLIA NUMBER - WILDCAT PT HOME HEALTH, LLC

Laboratory Demographics

  • CLIA Code: 17D2053870
  • Facility Name: WILDCAT PT HOME HEALTH, LLC
  • Facility Address: 2810 NORTH BARONS PL
    GARDEN CITY, KS
    ZIP 67846
  • Facility Phone: 620 276-4974
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: WILLIAM J. SAVOLT
  • NPI Number: 1154339224
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 17D2053870
LAB Type Home Health Agency
Facility Name WILDCAT PT HOME HEALTH, LLC
Street 2810 NORTH BARONS PL
City GARDEN CITY
State KS
ZIP 67846
Phone 620 276-4974
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2025
Certificate Expiration Date 2/7/2027
Facility Type Home Health Agency
Lab Director WILLIAM J. SAVOLT

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