17D2165741 CLIA NUMBER - HUTCHINSON FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 17D2165741
  • Facility Name: HUTCHINSON FIRE DEPARTMENT
  • Facility Address: 3201 EAST 4TH AVENUE
    HUTCHINSON, KS
    ZIP 67501
  • Facility Phone: 620 694-2879
  • Facility Type: Other - FIRE DEPARTMENT
  • Facility Type: Waiver
  • Lab Director: REBECCA A. MENDOZA
  • NPI Number: 1285926493
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D2165741
LAB Type Other - FIRE DEPARTMENT
Facility Name HUTCHINSON FIRE DEPARTMENT
Street 3201 EAST 4TH AVENUE
City HUTCHINSON
State KS
ZIP 67501
Phone 620 694-2879
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/6/2025
Certificate Expiration Date 5/5/2027
Facility Type Other - FIRE DEPARTMENT
Lab Director REBECCA A. MENDOZA

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