17D2294305 CLIA NUMBER - MAPLETON MEDICAL CLINIC, LLC

Laboratory Demographics

  • CLIA Code: 17D2294305
  • Facility Name: MAPLETON MEDICAL CLINIC, LLC
  • Facility Address: 171 E 6TH STREET
    MAPLETON, KS
    ZIP 66754
  • Facility Phone: 620 743-3049
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: CINDY K. LARSON
  • NPI Number: 1558139022
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D2294305
LAB Type Rural Health Clinic
Facility Name MAPLETON MEDICAL CLINIC, LLC
Street 171 E 6TH STREET
City MAPLETON
State KS
ZIP 66754
Phone 620 743-3049
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2023
Certificate Expiration Date 11/20/2025
Facility Type Rural Health Clinic
Lab Director CINDY K. LARSON

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