17D2100531 CLIA NUMBER - FAMILY MEDICINE OF WASHINGTON COUNTY

Laboratory Demographics

  • CLIA Code: 17D2100531
  • Facility Name: FAMILY MEDICINE OF WASHINGTON COUNTY
  • Facility Address: 302 EAST 2ND STREET
    WASHINGTON, KS
    ZIP 66968
  • Facility Phone: 785 325-2211
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KELLEN E. SHERLOCK MD

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CLIA Record

Field Name Field Value
CLIA Number 17D2100531
LAB Type Physician Office
Facility Name FAMILY MEDICINE OF WASHINGTON COUNTY
Street 302 EAST 2ND STREET
City WASHINGTON
State KS
ZIP 66968
Phone 785 325-2211
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2023
Certificate Expiration Date 8/16/2025
Facility Type Physician Office
Lab Director KELLEN E. SHERLOCK MD

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This page was last updated on: 3/20/2025