17D2194240 CLIA NUMBER - SENIOR CARE SERVICES

Laboratory Demographics

  • CLIA Code: 17D2194240
  • Facility Name: SENIOR CARE SERVICES
  • Facility Address: 1402 SOUTH RIDGE ROAD
    WICHITA, KS
    ZIP 67209
  • Facility Phone: 316 945-7455
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THOMAS RUESCH
  • NPI Number: 1528023199
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 17D2194240
LAB Type Pharmacy
Facility Name SENIOR CARE SERVICES
Street 1402 SOUTH RIDGE ROAD
City WICHITA
State KS
ZIP 67209
Phone 316 945-7455
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2024
Certificate Expiration Date 9/28/2026
Facility Type Pharmacy
Lab Director THOMAS RUESCH

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This page was last updated on: 3/20/2025