17D2246790 CLIA NUMBER - HAVILAND GRADE SCHOOL

Laboratory Demographics

  • CLIA Code: 17D2246790
  • Facility Name: HAVILAND GRADE SCHOOL
  • Facility Address: 400 N. TOPEKA
    HAVILAND, KS
    ZIP 67059
  • Facility Phone: 620 862-5256
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: TAYLA K. ELLIS
  • NPI Number: 1821322264
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 17D2246790
LAB Type School/Student Health Service
Facility Name HAVILAND GRADE SCHOOL
Street 400 N. TOPEKA
City HAVILAND
State KS
ZIP 67059
Phone 620 862-5256
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/29/2023
Certificate Expiration Date 12/28/2025
Facility Type School/Student Health Service
Lab Director TAYLA K. ELLIS

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