17D2321069 CLIA NUMBER - COTTON O'NEIL CLINIC 823 LAB AND UROLOGY

Laboratory Demographics

  • CLIA Code: 17D2321069
  • Facility Name: COTTON O'NEIL CLINIC 823 LAB AND UROLOGY
  • Facility Address: 823 SW MULVANE (2ND, 3RD, 4TH FLOOR)
    TOPEKA, KS
    ZIP 66606
  • Facility Phone: 785 354-6863
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: LAURA J. BALL
  • NPI Number: 1700076015
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 17D2321069
LAB Type Ancillary Testing Site in Health Care Center
Facility Name COTTON O'NEIL CLINIC 823 LAB AND UROLOGY
Street 823 SW MULVANE (2ND, 3RD, 4TH FLOOR)
City TOPEKA
State KS
ZIP 66606
Phone 785 354-6863
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2025
Certificate Expiration Date 3/27/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director LAURA J. BALL

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