17D2233204 CLIA NUMBER - REPUBLIC COUNTY USD 109

Laboratory Demographics

  • CLIA Code: 17D2233204
  • Facility Name: REPUBLIC COUNTY USD 109
  • Facility Address: 1205 19TH STREET
    BELLEVILLE, KS
    ZIP 66935
  • Facility Phone: 785 527-5621
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: ALEXIS JUNEK
  • NPI Number: 1053644096
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 17D2233204
LAB Type School/Student Health Service
Facility Name REPUBLIC COUNTY USD 109
Street 1205 19TH STREET
City BELLEVILLE
State KS
ZIP 66935
Phone 785 527-5621
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2025
Certificate Expiration Date 8/19/2027
Facility Type School/Student Health Service
Lab Director ALEXIS JUNEK

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