17D0899509 CLIA NUMBER - FIRSTAT NURSING SERVICES

Laboratory Demographics

  • CLIA Code: 17D0899509
  • Facility Name: FIRSTAT NURSING SERVICES
  • Facility Address: 8000 W 110TH STREET SUITE 115
    OVERLAND PARK, KS
    ZIP 66210
  • Facility Phone: 913 451-5900
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DIANE C. BLACKLER
  • NPI Number: 1053392746
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 17D0899509
LAB Type Home Health Agency
Facility Name FIRSTAT NURSING SERVICES
Street 8000 W 110TH STREET SUITE 115
City OVERLAND PARK
State KS
ZIP 66210
Phone 913 451-5900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2025
Certificate Expiration Date 3/30/2027
Facility Type Home Health Agency
Lab Director DIANE C. BLACKLER

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This page was last updated on: 3/20/2025