17D2111406 CLIA NUMBER - IMMANUEL BIRTH CO, PA

Laboratory Demographics

  • CLIA Code: 17D2111406
  • Facility Name: IMMANUEL BIRTH CO, PA
  • Facility Address: 1109 SW TOPEKA BLVD
    TOPEKA, KS
    ZIP 66612
  • Facility Phone: 785 232-6950
  • Facility Type: Other - BIRTH CENTER
  • Facility Type: Microscopy
  • Lab Director: JODI L. BLAIR
  • NPI Number: 1366419392
  • Taxonomy: 261QB0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D2111406
LAB Type Other - BIRTH CENTER
Facility Name IMMANUEL BIRTH CO, PA
Street 1109 SW TOPEKA BLVD
City TOPEKA
State KS
ZIP 66612
Phone 785 232-6950
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/5/2024
Certificate Expiration Date 4/4/2026
Facility Type Other - BIRTH CENTER
Lab Director JODI L. BLAIR

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