17D2327203 CLIA NUMBER - ICT HOME HEALTH

Laboratory Demographics

  • CLIA Code: 17D2327203
  • Facility Name: ICT HOME HEALTH
  • Facility Address: 324 W CENTRAL, SUITE E
    ANDOVER, KS
    ZIP 67002
  • Facility Phone: 316 448-1274
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ANGELA M. HOFFMAN
  • NPI Number: 1013801844
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 17D2327203
LAB Type Home Health Agency
Facility Name ICT HOME HEALTH
Street 324 W CENTRAL, SUITE E
City ANDOVER
State KS
ZIP 67002
Phone 316 448-1274
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2025
Certificate Expiration Date 7/17/2027
Facility Type Home Health Agency
Lab Director ANGELA M. HOFFMAN

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