17D2105898 CLIA NUMBER - WICHITA ASC, LP

Laboratory Demographics

  • CLIA Code: 17D2105898
  • Facility Name: WICHITA ASC, LP
  • Facility Address: 3555 NORTH WEBB ROAD, SUITE B
    WICHITA, KS
    ZIP 67226
  • Facility Phone: 316 351-5934
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Accreditation
  • Lab Director: DR. WASSIM H. SHAHEEN
  • NPI Number: 1295119584
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D2105898
LAB Type Ambulatory Surgery Center
Facility Name WICHITA ASC, LP
Street 3555 NORTH WEBB ROAD, SUITE B
City WICHITA
State KS
ZIP 67226
Phone 316 351-5934
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/11/2025
Certificate Expiration Date 1/10/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. WASSIM H. SHAHEEN

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