17D2118573 CLIA NUMBER - HOPEFIELD DIALYSIS

Laboratory Demographics

  • CLIA Code: 17D2118573
  • Facility Name: HOPEFIELD DIALYSIS
  • Facility Address: 2425 S ROUSE ST
    PITTSBURG, KS
    ZIP 66762
  • Facility Phone: 620 231-0794
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RYAN LUSTIG
  • NPI Number: 1558725259
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D2118573
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name HOPEFIELD DIALYSIS
Street 2425 S ROUSE ST
City PITTSBURG
State KS
ZIP 66762
Phone 620 231-0794
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2024
Certificate Expiration Date 9/11/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director RYAN LUSTIG

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