17D2305984 CLIA NUMBER - IROQUOIS CENTER FOR HUMAN DEVELOPMENT

Laboratory Demographics

  • CLIA Code: 17D2305984
  • Facility Name: IROQUOIS CENTER FOR HUMAN DEVELOPMENT
  • Facility Address: 610 E GRANT AVENUE
    GREENSBURG, KS
    ZIP 67054
  • Facility Phone: 620 723-2272
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: TREVER A. KREHBIEL
  • NPI Number: 1922001981
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D2305984
LAB Type Community Clinic
Facility Name IROQUOIS CENTER FOR HUMAN DEVELOPMENT
Street 610 E GRANT AVENUE
City GREENSBURG
State KS
ZIP 67054
Phone 620 723-2272
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2024
Certificate Expiration Date 6/9/2026
Facility Type Community Clinic
Lab Director TREVER A. KREHBIEL

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