17D2174395 CLIA NUMBER - XPRESS WELLNESS URGENT CARE

Laboratory Demographics

  • CLIA Code: 17D2174395
  • Facility Name: XPRESS WELLNESS URGENT CARE
  • Facility Address: 1513 W WYATT EARP BLVD
    DODGE CITY, KS
    ZIP 67801
  • Facility Phone: 620 682-8304
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: TAMARA J. GRABEAL
  • NPI Number: 1578133328
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D2174395
LAB Type Other - URGENT CARE
Facility Name XPRESS WELLNESS URGENT CARE
Street 1513 W WYATT EARP BLVD
City DODGE CITY
State KS
ZIP 67801
Phone 620 682-8304
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2023
Certificate Expiration Date 10/30/2025
Facility Type Other - URGENT CARE
Lab Director TAMARA J. GRABEAL

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