17D0890923 CLIA NUMBER - ADVANCED DERMATOLOGIC SURGERY

Laboratory Demographics

  • CLIA Code: 17D0890923
  • Facility Name: ADVANCED DERMATOLOGIC SURGERY
  • Facility Address: 6901 WEST 121ST STREET
    OVERLAND PARK, KS
    ZIP 66209
  • Facility Phone: 913 661-1755
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: THOMAS HOCKER
  • NPI Number: 1003016312
  • Taxonomy: 207ND0101X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 17D0890923
LAB Type Physician Office
Facility Name ADVANCED DERMATOLOGIC SURGERY
Street 6901 WEST 121ST STREET
City OVERLAND PARK
State KS
ZIP 66209
Phone 913 661-1755
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 11/28/2024
Certificate Expiration Date 11/27/2026
Facility Type Physician Office
Lab Director THOMAS HOCKER

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