17D0708129 CLIA NUMBER - LAWRENCE OB/GYN SPECIALISTS

Laboratory Demographics

  • CLIA Code: 17D0708129
  • Facility Name: LAWRENCE OB/GYN SPECIALISTS
  • Facility Address: 330 ARKANSAS, SUITE 300
    LAWRENCE, KS
    ZIP 66044
  • Facility Phone: 785 832-1424
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PHILLIP MOREANO
  • NPI Number: 1548387194
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 17D0708129
LAB Type Physician Office
Facility Name LAWRENCE OB/GYN SPECIALISTS
Street 330 ARKANSAS, SUITE 300
City LAWRENCE
State KS
ZIP 66044
Phone 785 832-1424
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/5/2025
Certificate Expiration Date 9/4/2027
Facility Type Physician Office
Lab Director PHILLIP MOREANO

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