CLIA Code Details

Clinical Laboratory Code : 17d2310678

TAMMMY CULLUM FNP-BC, LLC (PRACTITIONER OTHER)

Clinical Laboratory Information

Similar CLIA Codes
CLIA Number 17D2310678
Clinical laboratory number
Lab Name TAMMMY CULLUM FNP-BC, LLC
Laboratory Name
Lab Type Practitioner Other
Laboratory Type
Certificate Type Waiver
Clinical laboratory certificate type

Contacts

Phone 620-741-5430
Laboratory telephone number
Fax 620-741-5431
Fax number of the provider.

Facility Location

Street Address 2508 EDGEMONT DR, SUITE 3
Primary location adress line
City ARKANSAS CITY
Primary location city name
State KS
Primary location state name
Zip 67005
Primary location postal code

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