17D2171078 CLIA NUMBER - COMMONSPIRIT PRIMARY CARE AND OBSTETRICS & GYNECOLOGY LIBERAL

Laboratory Demographics

  • CLIA Code: 17D2171078
  • Facility Name: COMMONSPIRIT PRIMARY CARE AND OBSTETRICS & GYNECOLOGY LIBERAL
  • Facility Address: 2132 N KANSAS AVE, SUITE C
    LIBERAL, KS
    ZIP 67901
  • Facility Phone: 620 765-1255
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JAMES ZAUCHE
  • NPI Number: 1588377204
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 17D2171078
LAB Type Physician Office
Facility Name COMMONSPIRIT PRIMARY CARE AND OBSTETRICS & GYNECOLOGY LIBERAL
Street 2132 N KANSAS AVE, SUITE C
City LIBERAL
State KS
ZIP 67901
Phone 620 765-1255
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/11/2024
Certificate Expiration Date 5/10/2026
Facility Type Physician Office
Lab Director JAMES ZAUCHE

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