17D2126526 CLIA NUMBER - LABETTE HEALTH ERIE CLINIC

Laboratory Demographics

  • CLIA Code: 17D2126526
  • Facility Name: LABETTE HEALTH ERIE CLINIC
  • Facility Address: 324 S MAIN STREET
    ERIE, KS
    ZIP 66733
  • Facility Phone: 620 244-6070
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MATTHEW M. BOGLE
  • NPI Number: 1194723890
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D2126526
LAB Type Physician Office
Facility Name LABETTE HEALTH ERIE CLINIC
Street 324 S MAIN STREET
City ERIE
State KS
ZIP 66733
Phone 620 244-6070
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Physician Office
Lab Director MATTHEW M. BOGLE

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