17D2163911 CLIA NUMBER - COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC

Laboratory Demographics

  • CLIA Code: 17D2163911
  • Facility Name: COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC
  • Facility Address: 2051 N STATE ST
    IOLA, KS
    ZIP 66749
  • Facility Phone: 620 231-9873
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: LINDA K. BEAN
  • NPI Number: 1083199392
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D2163911
LAB Type Federally Qualified Health Center
Facility Name COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC
Street 2051 N STATE ST
City IOLA
State KS
ZIP 66749
Phone 620 231-9873
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2025
Certificate Expiration Date 3/21/2027
Facility Type Federally Qualified Health Center
Lab Director LINDA K. BEAN

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This page was last updated on: 6/4/2025