17D2242013 CLIA NUMBER - DCCCA, FIRST STEP AT LAKE VIEW

Laboratory Demographics

  • CLIA Code: 17D2242013
  • Facility Name: DCCCA, FIRST STEP AT LAKE VIEW
  • Facility Address: 3015 WEST 31ST STREET
    LAWRENCE, KS
    ZIP 66047
  • Facility Phone: 785 843-9262
  • Facility Type: Other - RESIDENTIAL TREATMENT CEN
  • Facility Type: Waiver
  • Lab Director: ROBIN L. CLEVENGER
  • NPI Number: 1356469209
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D2242013
LAB Type Other - RESIDENTIAL TREATMENT CEN
Facility Name DCCCA, FIRST STEP AT LAKE VIEW
Street 3015 WEST 31ST STREET
City LAWRENCE
State KS
ZIP 66047
Phone 785 843-9262
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2023
Certificate Expiration Date 11/2/2025
Facility Type Other - RESIDENTIAL TREATMENT CEN
Lab Director ROBIN L. CLEVENGER

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