17D0449675 CLIA NUMBER - PEDIATRIC PROFESSIONAL ASSOCIATION

Laboratory Demographics

  • CLIA Code: 17D0449675
  • Facility Name: PEDIATRIC PROFESSIONAL ASSOCIATION
  • Facility Address: 10600 QUIVIRA ROAD SUITE 210
    OVERLAND PARK, KS
    ZIP 66215
  • Facility Phone: 913 541-3300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DELSIE FILARDI
  • NPI Number: 1942247283
  • Taxonomy: 302F00000X - Exclusive Provider Organization

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CLIA Record

Field Name Field Value
CLIA Number 17D0449675
LAB Type Physician Office
Facility Name PEDIATRIC PROFESSIONAL ASSOCIATION
Street 10600 QUIVIRA ROAD SUITE 210
City OVERLAND PARK
State KS
ZIP 66215
Phone 913 541-3300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2024
Certificate Expiration Date 5/31/2026
Facility Type Physician Office
Lab Director DELSIE FILARDI

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