17D2274861 CLIA NUMBER - AMBERWELL LANSING CLINIC

Laboratory Demographics

  • CLIA Code: 17D2274861
  • Facility Name: AMBERWELL LANSING CLINIC
  • Facility Address: 1004 PROGRESS DR, SUITE 180 & 145
    LANSING, KS
    ZIP 66043
  • Facility Phone: 913 297-3215
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: NORMA GREEN
  • NPI Number: 1780391409
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D2274861
LAB Type Rural Health Clinic
Facility Name AMBERWELL LANSING CLINIC
Street 1004 PROGRESS DR, SUITE 180 & 145
City LANSING
State KS
ZIP 66043
Phone 913 297-3215
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2025
Certificate Expiration Date 1/10/2027
Facility Type Rural Health Clinic
Lab Director NORMA GREEN

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