17D2242829 CLIA NUMBER - DC DEFENSE SYSTEMS, LLC DBA PROVIDENCE HOMES PLUS

Laboratory Demographics

  • CLIA Code: 17D2242829
  • Facility Name: DC DEFENSE SYSTEMS, LLC DBA PROVIDENCE HOMES PLUS
  • Facility Address: 1920 SW 32ND ST
    TOPEKA, KS
    ZIP 66611
  • Facility Phone: 785 408-1559
  • Facility Type: Other - HOME PLUS/ADULT CARE HOME
  • Facility Type: Waiver
  • Lab Director: LISA PEAVLER
  • NPI Number: 1255228094
  • Taxonomy: 311ZA0620X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 17D2242829
LAB Type Other - HOME PLUS/ADULT CARE HOME
Facility Name DC DEFENSE SYSTEMS, LLC DBA PROVIDENCE HOMES PLUS
Street 1920 SW 32ND ST
City TOPEKA
State KS
ZIP 66611
Phone 785 408-1559
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2023
Certificate Expiration Date 11/11/2025
Facility Type Other - HOME PLUS/ADULT CARE HOME
Lab Director LISA PEAVLER

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