17D2056639 CLIA NUMBER - SOUTH WIND WOMENS CENTER DBA TRUST WOMEN

Laboratory Demographics

  • CLIA Code: 17D2056639
  • Facility Name: SOUTH WIND WOMENS CENTER DBA TRUST WOMEN
  • Facility Address: 5107 EAST KELLOGG DRIVE
    WICHITA, KS
    ZIP 67218
  • Facility Phone: 316 425-3215
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Certificate of Compliance
  • Lab Director: BIANCA E. HALL
  • NPI Number: 1457757346
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D2056639
LAB Type Ambulatory Surgery Center
Facility Name SOUTH WIND WOMENS CENTER DBA TRUST WOMEN
Street 5107 EAST KELLOGG DRIVE
City WICHITA
State KS
ZIP 67218
Phone 316 425-3215
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 11/12/2024
Certificate Expiration Date 11/11/2026
Facility Type Ambulatory Surgery Center
Lab Director BIANCA E. HALL

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