17D2290098 CLIA NUMBER - ONLY ANGELS HOSPICE LLC

Laboratory Demographics

  • CLIA Code: 17D2290098
  • Facility Name: ONLY ANGELS HOSPICE LLC
  • Facility Address: 1624 S RUTAN AVE STE B
    WICHITA, KS
    ZIP 67218
  • Facility Phone: 316 925-2627
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: MELISSA TRAN
  • NPI Number: 1356035661
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 17D2290098
LAB Type Hospice
Facility Name ONLY ANGELS HOSPICE LLC
Street 1624 S RUTAN AVE STE B
City WICHITA
State KS
ZIP 67218
Phone 316 925-2627
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2025
Certificate Expiration Date 9/19/2027
Facility Type Hospice
Lab Director MELISSA TRAN

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