17D0864054 CLIA NUMBER - OVERLAND PARK POST ACUTE

Laboratory Demographics

  • CLIA Code: 17D0864054
  • Facility Name: OVERLAND PARK POST ACUTE
  • Facility Address: 5211 W 103RD STREET
    OVERLAND PARK, KS
    ZIP 66207
  • Facility Phone: 913 383-2569
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SHYAM AKKULUGARI
  • NPI Number: 1407395932
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 17D0864054
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name OVERLAND PARK POST ACUTE
Street 5211 W 103RD STREET
City OVERLAND PARK
State KS
ZIP 66207
Phone 913 383-2569
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 SHYAM AKKULUGARI

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