17D2142232 CLIA NUMBER - MOUNT ST MARY

Laboratory Demographics

  • CLIA Code: 17D2142232
  • Facility Name: MOUNT ST MARY
  • Facility Address: 3700 E LINCOLN ST
    WICHITA, KS
    ZIP 67218
  • Facility Phone: 316 686-7171
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TERESA K. BARBER
  • NPI Number: 1881104230
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 17D2142232
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MOUNT ST MARY
Street 3700 E LINCOLN ST
City WICHITA
State KS
ZIP 67218
Phone 316 686-7171
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2024
Certificate Expiration Date 1/7/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director TERESA K. BARBER

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