17D2084771 CLIA NUMBER - EMPORIA DIALYSIS

Laboratory Demographics

  • CLIA Code: 17D2084771
  • Facility Name: EMPORIA DIALYSIS
  • Facility Address: 1616 INDUSTRIAL ROAD
    EMPORIA, KS
    ZIP 66801
  • Facility Phone: 620 340-8043
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KEELYN L. ERICSON
  • NPI Number: 1033528708
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D2084771
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name EMPORIA DIALYSIS
Street 1616 INDUSTRIAL ROAD
City EMPORIA
State KS
ZIP 66801
Phone 620 340-8043
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2024
Certificate Expiration Date 9/29/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director KEELYN L. ERICSON

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