17D0449107 CLIA NUMBER - JOHNSON COUNTY PEDIATRICS AN AFFILIATE OF CHILDREN'S MERCY

Laboratory Demographics

  • CLIA Code: 17D0449107
  • Facility Name: JOHNSON COUNTY PEDIATRICS AN AFFILIATE OF CHILDREN'S MERCY
  • Facility Address: 8800 W 75TH, SUITE 220
    SHAWNEE MISSION, KS
    ZIP 66204
  • Facility Phone: 913 384-5500
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: LUKE ENGELLMANN
  • NPI Number: 1346215282
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 17D0449107
LAB Type Physician Office
Facility Name JOHNSON COUNTY PEDIATRICS AN AFFILIATE OF CHILDREN'S MERCY
Street 8800 W 75TH, SUITE 220
City SHAWNEE MISSION
State KS
ZIP 66204
Phone 913 384-5500
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/11/2024
Certificate Expiration Date 4/10/2026
Facility Type Physician Office
Lab Director LUKE ENGELLMANN

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