17D2246199 CLIA NUMBER - WICHITA VALLEY HOPE

Laboratory Demographics

  • CLIA Code: 17D2246199
  • Facility Name: WICHITA VALLEY HOPE
  • Facility Address: 650 S WESTDALE DR, STE 207
    WICHITA, KS
    ZIP 67209
  • Facility Phone: 785 877-5111
  • Facility Type: Other - OP SUBSTANCE USE TRMT CTR
  • Facility Type: Waiver
  • Lab Director: JEANETTE C. LOCHRIDGE-ECKER
  • NPI Number: 1265462170
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D2246199
LAB Type Other - OP SUBSTANCE USE TRMT CTR
Facility Name WICHITA VALLEY HOPE
Street 650 S WESTDALE DR, STE 207
City WICHITA
State KS
ZIP 67209
Phone 785 877-5111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2023
Certificate Expiration Date 12/20/2025
Facility Type Other - OP SUBSTANCE USE TRMT CTR
Lab Director JEANETTE C. LOCHRIDGE-ECKER

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