Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
17D2311704
|
|
Clinical laboratory number
|
|
Lab Name
|
1 STIKK MOBILE AND LAB
|
|
Laboratory Name
|
|
Lab Type
|
Independent
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
316-205-6321
|
|
Laboratory telephone number
|
|
Fax
|
316-235-2443
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
1407 N PERRY AVENUE
|
|
Primary location adress line
|
|
City
|
WICHITA
|
|
Primary location city name
|
|
State
|
KS
|
|
Primary location state name
|
|
Zip
|
67203
|
|
Primary location postal code
|