17D2235089 CLIA NUMBER - WOODSON 366

Laboratory Demographics

  • CLIA Code: 17D2235089
  • Facility Name: WOODSON 366
  • Facility Address: 101 W BUTLER
    YATES CENTER, KS
    ZIP 66783
  • Facility Phone: 620 625-9904
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: STEVEN E. PEGRAM

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CLIA Record

Field Name Field Value
CLIA Number 17D2235089
LAB Type School/Student Health Service
Facility Name WOODSON 366
Street 101 W BUTLER
City YATES CENTER
State KS
ZIP 66783
Phone 620 625-9904
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2023
Certificate Expiration Date 9/6/2025
Facility Type School/Student Health Service
Lab Director STEVEN E. PEGRAM

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This page was last updated on: 6/4/2025