17D2222084 CLIA NUMBER - SOUTH WIND HOME INC

Laboratory Demographics

  • CLIA Code: 17D2222084
  • Facility Name: SOUTH WIND HOME INC
  • Facility Address: 496 YUCCA LANE
    PRATT, KS
    ZIP 67124
  • Facility Phone: 620 933-2060
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: LOYCE COVEY
  • NPI Number: 1780609396
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 17D2222084
LAB Type Assisted Living Facility
Facility Name SOUTH WIND HOME INC
Street 496 YUCCA LANE
City PRATT
State KS
ZIP 67124
Phone 620 933-2060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2025
Certificate Expiration Date 4/26/2027
Facility Type Assisted Living Facility
Lab Director LOYCE COVEY

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