17D2148424 CLIA NUMBER - LABCORP KANSAS, INC - REFLECTION RIDGE

Laboratory Demographics

  • CLIA Code: 17D2148424
  • Facility Name: LABCORP KANSAS, INC - REFLECTION RIDGE
  • Facility Address: 8444 WEST 21ST ST
    WICHITA, KS
    ZIP 67205
  • Facility Phone: 316 274-9856
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JULIE J. SIMON
  • NPI Number: 1396482493
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 17D2148424
LAB Type Physician Office
Facility Name LABCORP KANSAS, INC - REFLECTION RIDGE
Street 8444 WEST 21ST ST
City WICHITA
State KS
ZIP 67205
Phone 316 274-9856
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2024
Certificate Expiration Date 5/9/2026
Facility Type Physician Office
Lab Director JULIE J. SIMON

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