17D2166007 CLIA NUMBER - URGENT CARE OF KANSAS

Laboratory Demographics

CLIA Number: 17D2166007

Facility Name: URGENT CARE OF KANSAS

Facility Address:
314 E MAIN STREET, SUITE G
GARDNER, KS
ZIP 66030
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Facility Phone Number: 913 938-4726

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1710442975

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	17D2166007
LAB Type	Physician Office
Facility Name	URGENT CARE OF KANSAS
Street	314 E MAIN STREET, SUITE G
City	GARDNER
State	KS
ZIP	66030
Phone	913 938-4726
CertificateType	4
CertificateEffectiveDate	8/4/2022
CertificateExpirationDate	8/3/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024