17D2147350 CLIA NUMBER - KELLY HOUSE MERIDEN NORTH

Laboratory Demographics

  • CLIA Code: 17D2147350
  • Facility Name: KELLY HOUSE MERIDEN NORTH
  • Facility Address: 6313 K-4 HIGHWAY
    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 17D2147350
LAB Type Assisted Living Facility
Facility Name KELLY HOUSE MERIDEN NORTH
Street 6313 K-4 HIGHWAY
City MERIDEN
State KS
ZIP 66512
Phone 785 228-7971
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2024
Certificate Expiration Date 4/16/2026
Facility Type Assisted Living Facility
Lab Director CRYSTAL MCQUEEN

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