17D0679434 CLIA NUMBER - CHILDREN'S MERCY - VILLAGE PEDIATRICS, INC

Laboratory Demographics

  • CLIA Code: 17D0679434
  • Facility Name: CHILDREN'S MERCY - VILLAGE PEDIATRICS, INC
  • Facility Address: 8340 MISSION ROAD, STE 100
    PRAIRIE VILLAGE, KS
    ZIP 66206
  • Facility Phone: 913 642-2100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LANCE B. SLAYMAKER
  • NPI Number: 1477508323
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 17D0679434
LAB Type Physician Office
Facility Name CHILDREN'S MERCY - VILLAGE PEDIATRICS, INC
Street 8340 MISSION ROAD, STE 100
City PRAIRIE VILLAGE
State KS
ZIP 66206
Phone 913 642-2100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2025
Certificate Expiration Date 6/26/2027
Facility Type Physician Office
Lab Director LANCE B. SLAYMAKER

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