17D2303001 CLIA NUMBER - ADVANCED PRIMARY CARE CLINIC

Laboratory Demographics

  • CLIA Code: 17D2303001
  • Facility Name: ADVANCED PRIMARY CARE CLINIC
  • Facility Address: 120 W PINE ST
    COLUMBUS, KS
    ZIP 66725
  • Facility Phone: 620 429-1008
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL R. ECHARD
  • NPI Number: 1376314435
  • Taxonomy: 363LG0600X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 17D2303001
LAB Type Physician Office
Facility Name ADVANCED PRIMARY CARE CLINIC
Street 120 W PINE ST
City COLUMBUS
State KS
ZIP 66725
Phone 620 429-1008
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2024
Certificate Expiration Date 4/17/2026
Facility Type Physician Office
Lab Director MICHAEL R. ECHARD

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