17D2084334 CLIA NUMBER - LAWRENCE ENDOCRINOLOGY

Laboratory Demographics

  • CLIA Code: 17D2084334
  • Facility Name: LAWRENCE ENDOCRINOLOGY
  • Facility Address: 1130 WEST 4TH STREET, SUITE 3200 ATTN CLIA MANAGER
    LAWRENCE, KS
    ZIP 66044
  • Facility Phone: 785 505-5885
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK J. OERTEL
  • NPI Number: 1811303407
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 17D2084334
LAB Type Physician Office
Facility Name LAWRENCE ENDOCRINOLOGY
Street 1130 WEST 4TH STREET, SUITE 3200 ATTN CLIA MANAGER
City LAWRENCE
State KS
ZIP 66044
Phone 785 505-5885
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2024
Certificate Expiration Date 9/21/2026
Facility Type Physician Office
Lab Director MARK J. OERTEL

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