17D2087399 CLIA NUMBER - PROMISES KEPT, LLC DBA PHOENIX HOME CARE & HOSPICE

Laboratory Demographics

  • CLIA Code: 17D2087399
  • Facility Name: PROMISES KEPT, LLC DBA PHOENIX HOME CARE & HOSPICE
  • Facility Address: 3450 NORTH ROCK ROAD, SUITE 213
    WICHITA, KS
    ZIP 67226
  • Facility Phone: 316 688-5511
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: JULIE BLAINE
  • NPI Number: 1518273408
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 17D2087399
LAB Type Hospice
Facility Name PROMISES KEPT, LLC DBA PHOENIX HOME CARE & HOSPICE
Street 3450 NORTH ROCK ROAD, SUITE 213
City WICHITA
State KS
ZIP 67226
Phone 316 688-5511
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/24/2024
Certificate Expiration Date 11/23/2026
Facility Type Hospice
Lab Director JULIE BLAINE

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