17D2233546 CLIA NUMBER - TITAN MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 17D2233546
  • Facility Name: TITAN MEDICAL CENTER
  • Facility Address: 1415 W 31ST S
    WICHITA, KS
    ZIP 67217
  • Facility Phone: 316 529-3470
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TIMOTHY D. WARREN
  • NPI Number: 1306290879
  • Taxonomy: 208D00000X - General Practice

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 17D2233546
LAB Type Physician Office
Facility Name TITAN MEDICAL CENTER
Street 1415 W 31ST S
City WICHITA
State KS
ZIP 67217
Phone 316 529-3470
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2025
Certificate Expiration Date 8/23/2027
Facility Type Physician Office
Lab Director TIMOTHY D. WARREN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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