17D0448865 CLIA NUMBER - KANZA MULTISPECIALTY GROUP PA

Laboratory Demographics

  • CLIA Code: 17D0448865
  • Facility Name: KANZA MULTISPECIALTY GROUP PA
  • Facility Address: 1428 SOUTH 32ND
    KANSAS CITY, KS
    ZIP 66106
  • Facility Phone: 913 384-1630
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NADER DADKHAH, MD
  • NPI Number: 1922192848
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 17D0448865
LAB Type Physician Office
Facility Name KANZA MULTISPECIALTY GROUP PA
Street 1428 SOUTH 32ND
City KANSAS CITY
State KS
ZIP 66106
Phone 913 384-1630
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2024
Certificate Expiration Date 3/23/2026
Facility Type Physician Office
Lab Director NADER DADKHAH, MD

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