17D2248141 CLIA NUMBER - SPEARVILLE SENIOR LIVING INC DBA SOUTHWIND AT SPEARVILLE

Laboratory Demographics

  • CLIA Code: 17D2248141
  • Facility Name: SPEARVILLE SENIOR LIVING INC DBA SOUTHWIND AT SPEARVILLE
  • Facility Address: 102 PINE ST
    SPEARVILLE, KS
    ZIP 67876
  • Facility Phone: 620 385-2161
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MEGAN HUMKE
  • NPI Number: 1831424225
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 17D2248141
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SPEARVILLE SENIOR LIVING INC DBA SOUTHWIND AT SPEARVILLE
Street 102 PINE ST
City SPEARVILLE
State KS
ZIP 67876
Phone 620 385-2161
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2024
Certificate Expiration Date 1/11/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MEGAN HUMKE

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