17D2140264 CLIA NUMBER - MIDWEST PHYSIATRISTS PA

Laboratory Demographics

  • CLIA Code: 17D2140264
  • Facility Name: MIDWEST PHYSIATRISTS PA
  • Facility Address: 9415 E HARRY STREET SUITE 602
    WICHITA, KS
    ZIP 67207
  • Facility Phone: (316) 681-2420
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PEDRO MURATI
  • NPI Number: 1508937228
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 17D2140264
LAB Type Physician Office
Facility Name MIDWEST PHYSIATRISTS PA
Street 9415 E HARRY STREET SUITE 602
City WICHITA
State KS
ZIP 67207
Phone 3166812420
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2025
Certificate Expiration Date 11/16/2027
Facility Type Physician Office
Lab Director PEDRO MURATI

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This page was last updated on: 6/29/2026