17D2294473 CLIA NUMBER - ADVANCED PRACTICE SPECIALTIES, LLC

Laboratory Demographics

  • CLIA Code: 17D2294473
  • Facility Name: ADVANCED PRACTICE SPECIALTIES, LLC
  • Facility Address: 505 NORTH MAIN
    ELLINWOOD, KS
    ZIP 67526
  • Facility Phone: 620 639-0238
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: KELLI M. BROWN
  • NPI Number: 1801664883
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 17D2294473
LAB Type Practitioner Other
Facility Name ADVANCED PRACTICE SPECIALTIES, LLC
Street 505 NORTH MAIN
City ELLINWOOD
State KS
ZIP 67526
Phone 620 639-0238
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/27/2023
Certificate Expiration Date 11/26/2025
Facility Type Practitioner Other
Lab Director KELLI M. BROWN

Download Record

Download this CLIA record record in Text format: Export

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

Download this CLIA record record in XML format: Export

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