17D2311468 CLIA NUMBER - CHOICE MIDWIFERY

Laboratory Demographics

  • CLIA Code: 17D2311468
  • Facility Name: CHOICE MIDWIFERY
  • Facility Address: 1701 N 14TH AVE, SUITE B, RM 1
    DODGE CITY, KS
    ZIP 67801
  • Facility Phone: 620 255-7891
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: CHELSEA D. GLEASON
  • NPI Number: 1881414712
  • Taxonomy: 367A00000X - Advanced Practice Midwife

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CLIA Record

Field Name Field Value
CLIA Number 17D2311468
LAB Type Practitioner Other
Facility Name CHOICE MIDWIFERY
Street 1701 N 14TH AVE, SUITE B, RM 1
City DODGE CITY
State KS
ZIP 67801
Phone 620 255-7891
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2024
Certificate Expiration Date 9/22/2026
Facility Type Practitioner Other
Lab Director CHELSEA D. GLEASON

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