Healther Providers Data Logo

17D2270687 CLIA NUMBER - BERT NASH COMMUNITY MENTAL HEALTH CENTER, THE

Laboratory Demographics

CLIA Number: 17D2270687

Facility Name: BERT NASH COMMUNITY MENTAL HEALTH CENTER, THE

Facility Address:
200 MAINE STREET, SUITE A
LAWRENCE, KS
ZIP 66044
Get Directions

Facility Phone Number: 785 830-1812

Facility Type: Other - MENTAL HEALTH CLINIC

Certificate Type: Waiver
NPI Number: 1659820660

Taxonomy: 261QM0801X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 17D2270687
LAB Type Other - MENTAL HEALTH CLINIC
Facility Name BERT NASH COMMUNITY MENTAL HEALTH CENTER, THE
Street 200 MAINE STREET, SUITE A
City LAWRENCE
State KS
ZIP 66044
Phone 785 830-1812
CertificateType 4
CertificateEffectiveDate 10/19/2022
CertificateExpirationDate 10/18/2024
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024