17D0448945 CLIA NUMBER - PROVIDENCE MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 17D0448945
  • Facility Name: PROVIDENCE MEDICAL CENTER
  • Facility Address: 8929 PARALLEL PARKWAY
    KANSAS CITY, KS
    ZIP 66112
  • Facility Phone: 913 596-4711
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. S KEVIN MADIGAN
  • NPI Number: 1952947939
  • Taxonomy: 207XX0005X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 17D0448945
LAB Type Hospital
Facility Name PROVIDENCE MEDICAL CENTER
Street 8929 PARALLEL PARKWAY
City KANSAS CITY
State KS
ZIP 66112
Phone 913 596-4711
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Hospital
Lab Director DR. S KEVIN MADIGAN

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