17D2159631 CLIA NUMBER - GRAN VILLAS PITTSBURG

Laboratory Demographics

  • CLIA Code: 17D2159631
  • Facility Name: GRAN VILLAS PITTSBURG
  • Facility Address: 1004 E CENTENNIAL
    PITTSBURG, KS
    ZIP 66762
  • Facility Phone: 620 231-4556
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KIMBERLY BURLINGHAM
  • NPI Number: 1437410651
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 17D2159631
LAB Type Assisted Living Facility
Facility Name GRAN VILLAS PITTSBURG
Street 1004 E CENTENNIAL
City PITTSBURG
State KS
ZIP 66762
Phone 620 231-4556
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2024
Certificate Expiration Date 12/19/2026
Facility Type Assisted Living Facility
Lab Director KIMBERLY BURLINGHAM

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