17D2063612 CLIA NUMBER - BENNINGTON GRADE SCHOOL

Laboratory Demographics

  • CLIA Code: 17D2063612
  • Facility Name: BENNINGTON GRADE SCHOOL
  • Facility Address: 223 NORTH PUTNAM
    BENNINGTON, KS
    ZIP 67422
  • Facility Phone: 785 488-6091
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: REBECCA R. RACETTE
  • NPI Number: 1932292505
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 17D2063612
LAB Type School/Student Health Service
Facility Name BENNINGTON GRADE SCHOOL
Street 223 NORTH PUTNAM
City BENNINGTON
State KS
ZIP 67422
Phone 785 488-6091
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2025
Certificate Expiration Date 8/5/2027
Facility Type School/Student Health Service
Lab Director REBECCA R. RACETTE

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