17D2096114 CLIA NUMBER - DOUGLAS E BALL OD PA

Laboratory Demographics

  • CLIA Code: 17D2096114
  • Facility Name: DOUGLAS E BALL OD PA
  • Facility Address: 3120 N PLUM
    HUTCHINSON, KS
    ZIP 67502
  • Facility Phone: 620 662-2355
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RON D. HANSEN OD
  • NPI Number: 1922096296
  • Taxonomy: 152W00000X - Optometrist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 17D2096114
LAB Type Physician Office
Facility Name DOUGLAS E BALL OD PA
Street 3120 N PLUM
City HUTCHINSON
State KS
ZIP 67502
Phone 620 662-2355
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/15/2025
Certificate Expiration Date 5/14/2027
Facility Type Physician Office
Lab Director RON D. HANSEN OD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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