17D2193392 CLIA NUMBER - TAPESTRY PSYCHIATRIC SERVICE

Laboratory Demographics

  • CLIA Code: 17D2193392
  • Facility Name: TAPESTRY PSYCHIATRIC SERVICE
  • Facility Address: 504 N KANSAS AVENUE, STE B-1
    LIBERAL, KS
    ZIP 67901
  • Facility Phone: 620 604-5274
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: LAUREL LAHITA
  • NPI Number: 1316300239
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 17D2193392
LAB Type Practitioner Other
Facility Name TAPESTRY PSYCHIATRIC SERVICE
Street 504 N KANSAS AVENUE, STE B-1
City LIBERAL
State KS
ZIP 67901
Phone 620 604-5274
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2024
Certificate Expiration Date 9/20/2026
Facility Type Practitioner Other
Lab Director LAUREL LAHITA

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