17D0449122 CLIA NUMBER - PRAIRIE RIDGE HEALTH & REHABILITATION

Laboratory Demographics

  • CLIA Code: 17D0449122
  • Facility Name: PRAIRIE RIDGE HEALTH & REHABILITATION
  • Facility Address: 6501 WEST 75TH STREET
    OVERLAND PARK, KS
    ZIP 66204
  • Facility Phone: 913 383-9866
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SHARON WELKER
  • NPI Number: 1346288313
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 17D0449122
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PRAIRIE RIDGE HEALTH & REHABILITATION
Street 6501 WEST 75TH STREET
City OVERLAND PARK
State KS
ZIP 66204
Phone 913 383-9866
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SHARON WELKER

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This page was last updated on: 6/4/2025