17D2108179 CLIA NUMBER - BLUESTEM PACE

Laboratory Demographics

  • CLIA Code: 17D2108179
  • Facility Name: BLUESTEM PACE
  • Facility Address: 113 SOUTH ASH STREET
    MCPHERSON, KS
    ZIP 67460
  • Facility Phone: 620 504-5900
  • Facility Type: Other - PACE
  • Facility Type: Waiver
  • Lab Director: CHRIS LEFORT
  • NPI Number: 1073068706
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 17D2108179
LAB Type Other - PACE
Facility Name BLUESTEM PACE
Street 113 SOUTH ASH STREET
City MCPHERSON
State KS
ZIP 67460
Phone 620 504-5900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2024
Certificate Expiration Date 1/28/2026
Facility Type Other - PACE
Lab Director CHRIS LEFORT

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