17D2263171 CLIA NUMBER - INTERIM HEALTHCARE OF WICHITA BRANCH OFFICE IN EL DORADO

Laboratory Demographics

  • CLIA Code: 17D2263171
  • Facility Name: INTERIM HEALTHCARE OF WICHITA BRANCH OFFICE IN EL DORADO
  • Facility Address: 121 W CENTRAL
    EL DORADO, KS
    ZIP 67042
  • Facility Phone: 316 600-5190
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: KIM BROWN

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CLIA Record

Field Name Field Value
CLIA Number 17D2263171
LAB Type Hospice
Facility Name INTERIM HEALTHCARE OF WICHITA BRANCH OFFICE IN EL DORADO
Street 121 W CENTRAL
City EL DORADO
State KS
ZIP 67042
Phone 316 600-5190
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/23/2024
Certificate Expiration Date 6/22/2026
Facility Type Hospice
Lab Director KIM BROWN

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This page was last updated on: 6/4/2025