17D2189084 CLIA NUMBER - FOUNDERS SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 17D2189084
  • Facility Name: FOUNDERS SURGERY CENTER LLC
  • Facility Address: 1961 N FOUNDERS CIRCLE
    WICHITA, KS
    ZIP 67206
  • Facility Phone: 316 613-4607
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: PATRICIA POWELL
  • NPI Number: 1760020846
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D2189084
LAB Type Ambulatory Surgery Center
Facility Name FOUNDERS SURGERY CENTER LLC
Street 1961 N FOUNDERS CIRCLE
City WICHITA
State KS
ZIP 67206
Phone 316 613-4607
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2024
Certificate Expiration Date 7/26/2026
Facility Type Ambulatory Surgery Center
Lab Director PATRICIA POWELL

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