17D2227681 CLIA NUMBER - PEARL OB/GYN, LLC

Laboratory Demographics

  • CLIA Code: 17D2227681
  • Facility Name: PEARL OB/GYN, LLC
  • Facility Address: 3252 E DOUGLAS, SUITE 101
    WICHITA, KS
    ZIP 67208
  • Facility Phone: 316 687-3275
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAMEN W. HERSHBERGER
  • NPI Number: 1659949931
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 17D2227681
LAB Type Physician Office
Facility Name PEARL OB/GYN, LLC
Street 3252 E DOUGLAS, SUITE 101
City WICHITA
State KS
ZIP 67208
Phone 316 687-3275
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2025
Certificate Expiration Date 6/14/2027
Facility Type Physician Office
Lab Director DAMEN W. HERSHBERGER

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