17D2286650 CLIA NUMBER - PREMIERHEALTH, LLC

Laboratory Demographics

  • CLIA Code: 17D2286650
  • Facility Name: PREMIERHEALTH, LLC
  • Facility Address: 1031 N KANSAS AVE
    LIBERAL, KS
    ZIP 67901
  • Facility Phone: 620 482-0746
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: LINSEY K. CARTER
  • NPI Number: 1295417046
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 17D2286650
LAB Type Practitioner Other
Facility Name PREMIERHEALTH, LLC
Street 1031 N KANSAS AVE
City LIBERAL
State KS
ZIP 67901
Phone 620 482-0746
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2025
Certificate Expiration Date 8/1/2027
Facility Type Practitioner Other
Lab Director LINSEY K. CARTER

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