17D2299242 CLIA NUMBER - COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS

Laboratory Demographics

  • CLIA Code: 17D2299242
  • Facility Name: COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS
  • Facility Address: 1216 HAWAII RD
    HUMBOLDT, KS
    ZIP 66748
  • Facility Phone: 620 231-9873
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: LINDA K. BEAN
  • NPI Number: 1811999683
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D2299242
LAB Type Federally Qualified Health Center
Facility Name COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS
Street 1216 HAWAII RD
City HUMBOLDT
State KS
ZIP 66748
Phone 620 231-9873
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/15/2024
Certificate Expiration Date 2/14/2026
Facility Type Federally Qualified Health Center
Lab Director LINDA K. BEAN

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This page was last updated on: 3/20/2025