17D2159919 CLIA NUMBER - CENTER AT WATERFRONT, LLC

Laboratory Demographics

  • CLIA Code: 17D2159919
  • Facility Name: CENTER AT WATERFRONT, LLC
  • Facility Address: 1541 NORTH LINDBERG CIRCE
    WICHITA, KS
    ZIP 67206
  • Facility Phone: 316 358-6400
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BARTOLOME A. ESMAS
  • NPI Number: 1902308919
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 17D2159919
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CENTER AT WATERFRONT, LLC
Street 1541 NORTH LINDBERG CIRCE
City WICHITA
State KS
ZIP 67206
Phone 316 358-6400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/31/2024
Certificate Expiration Date 12/30/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director BARTOLOME A. ESMAS

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