17D2135455 CLIA NUMBER - ADAIR ACUTE CARE AT OSAWATOMIE STATE HOSPITAL

Laboratory Demographics

CLIA Number: 17D2135455

Facility Name: ADAIR ACUTE CARE AT OSAWATOMIE STATE HOSPITAL

Facility Address:
500 STATE HOSPITAL DRIVE-AAC
OSAWATOMIE, KS
ZIP 66064
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Facility Phone Number: 913 755-7030

Facility Type: Hospital

Certificate Type: Waiver

NPI Number: 1184071532

Taxonomy: 283Q00000X - Psychiatric Hospital
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

CLIA Record

Field Name	Field Value
CLIA Number	17D2135455
LAB Type	Hospital
Facility Name	ADAIR ACUTE CARE AT OSAWATOMIE STATE HOSPITAL
Street	500 STATE HOSPITAL DRIVE-AAC
City	OSAWATOMIE
State	KS
ZIP	66064
Phone	913 755-7030
CertificateType	4
CertificateEffectiveDate	8/22/2023
CertificateExpirationDate	8/21/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024