17D2240475 CLIA NUMBER - ALDERBROOK VILLAGE

Laboratory Demographics

  • CLIA Code: 17D2240475
  • Facility Name: ALDERBROOK VILLAGE
  • Facility Address: 402 E WINDSOR ROAD
    ARKANSAS CITY, KS
    ZIP 67005
  • Facility Phone: 620 442-4400
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KATY R. DICKENS
  • NPI Number: 1467857094
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 17D2240475
LAB Type Assisted Living Facility
Facility Name ALDERBROOK VILLAGE
Street 402 E WINDSOR ROAD
City ARKANSAS CITY
State KS
ZIP 67005
Phone 620 442-4400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2025
Certificate Expiration Date 10/19/2027
Facility Type Assisted Living Facility
Lab Director KATY R. DICKENS

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