17D2147027 CLIA NUMBER - KELLY HOUSE MERIDEN SOUTH

Laboratory Demographics

  • CLIA Code: 17D2147027
  • Facility Name: KELLY HOUSE MERIDEN SOUTH
  • Facility Address: 3566 62ND STREET
    MERIDEN, KS
    ZIP 66512
  • Facility Phone: (785) 228-7971
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: CRYSTAL MCQUEEN
  • NPI Number: 1295114205
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 17D2147027
LAB Type Assisted Living Facility
Facility Name KELLY HOUSE MERIDEN SOUTH
Street 3566 62ND STREET
City MERIDEN
State KS
ZIP 66512
Phone 7852287971
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2026
Certificate Expiration Date 4/10/2028
Facility Type Assisted Living Facility
Lab Director CRYSTAL MCQUEEN

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This page was last updated on: 5/18/2026