17D2225482 CLIA NUMBER - TOPEKA PHYSICIAN GROUP LLC

Laboratory Demographics

  • CLIA Code: 17D2225482
  • Facility Name: TOPEKA PHYSICIAN GROUP LLC
  • Facility Address: 631 HORNE STREET, SUITE 210
    TOPEKA, KS
    ZIP 66606
  • Facility Phone: 785 270-7660
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRISTINA PETERSON
  • NPI Number: 1972022887
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 17D2225482
LAB Type Physician Office
Facility Name TOPEKA PHYSICIAN GROUP LLC
Street 631 HORNE STREET, SUITE 210
City TOPEKA
State KS
ZIP 66606
Phone 785 270-7660
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/11/2024
Certificate Expiration Date 11/10/2026
Facility Type Physician Office
Lab Director CHRISTINA PETERSON

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