17D0861116 CLIA NUMBER - JOHNSON COUNTY MED-ACT

Laboratory Demographics

  • CLIA Code: 17D0861116
  • Facility Name: JOHNSON COUNTY MED-ACT
  • Facility Address: 11811 S SUNSET DR, SUITE 1100
    OLATHE, KS
    ZIP 66061
  • Facility Phone: 913 715-1950
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: J PAUL DAVIS
  • NPI Number: 1093792046
  • Taxonomy: 3416L0300X - Ambulance

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 17D0861116
LAB Type Other
Facility Name JOHNSON COUNTY MED-ACT
Street 11811 S SUNSET DR, SUITE 1100
City OLATHE
State KS
ZIP 66061
Phone 913 715-1950
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 Other
Lab Director J PAUL DAVIS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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