17D2117364 CLIA NUMBER - KELLY HOUSE

Laboratory Demographics

  • CLIA Code: 17D2117364
  • Facility Name: KELLY HOUSE
  • Facility Address: 1800 SW FAIRMONT ROAD
    TOPEKA, KS
    ZIP 66604
  • Facility Phone: 785 228-7971
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: CRYSTAL MCQUEEN
  • NPI Number: 1497911523
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 17D2117364
LAB Type Assisted Living Facility
Facility Name KELLY HOUSE
Street 1800 SW FAIRMONT ROAD
City TOPEKA
State KS
ZIP 66604
Phone 785 228-7971
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2024
Certificate Expiration Date 8/15/2026
Facility Type Assisted Living Facility
Lab Director CRYSTAL MCQUEEN

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