17D0972575 CLIA NUMBER - LAWRENCE SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 17D0972575
  • Facility Name: LAWRENCE SURGERY CENTER LLC
  • Facility Address: 6265 ROCK CHALK DRIVE SUITE 2100
    LAWRENCE, KS
    ZIP 66049
  • Facility Phone: 785 832-0588
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SHANA HUBBELL
  • NPI Number: 1346243680
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D0972575
LAB Type Ambulatory Surgery Center
Facility Name LAWRENCE SURGERY CENTER LLC
Street 6265 ROCK CHALK DRIVE SUITE 2100
City LAWRENCE
State KS
ZIP 66049
Phone 785 832-0588
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2024
Certificate Expiration Date 4/10/2026
Facility Type Ambulatory Surgery Center
Lab Director SHANA HUBBELL

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