17D0449667 CLIA NUMBER - LAKEVIEW VILLAGE

Laboratory Demographics

  • CLIA Code: 17D0449667
  • Facility Name: LAKEVIEW VILLAGE
  • Facility Address: 13840 W 91ST TERRACE
    LENEXA, KS
    ZIP 66215
  • Facility Phone: 913 744-2475
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: PAM HERMON
  • NPI Number: 1457736548
  • Taxonomy: 261QR0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D0449667
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LAKEVIEW VILLAGE
Street 13840 W 91ST TERRACE
City LENEXA
State KS
ZIP 66215
Phone 913 744-2475
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 PAM HERMON

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