17D0941022 CLIA NUMBER - WESTGLEN ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 17D0941022
  • Facility Name: WESTGLEN ENDOSCOPY CENTER
  • Facility Address: 16663 MIDLAND DRIVE SUITE 200
    SHAWNEE, KS
    ZIP 66217
  • Facility Phone: 913 248-8800
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ERVIN EAKER
  • NPI Number: 1588644520
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D0941022
LAB Type Ambulatory Surgery Center
Facility Name WESTGLEN ENDOSCOPY CENTER
Street 16663 MIDLAND DRIVE SUITE 200
City SHAWNEE
State KS
ZIP 66217
Phone 913 248-8800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2024
Certificate Expiration Date 2/18/2026
Facility Type Ambulatory Surgery Center
Lab Director ERVIN EAKER

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