17D0975560 CLIA NUMBER - PHYSICIANS SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 17D0975560
  • Facility Name: PHYSICIANS SURGERY CENTER, LLC
  • Facility Address: 3840 W 75TH STREET
    PRAIRIE VILLAGE, KS
    ZIP 66208
  • Facility Phone: 913 384-9600
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DANIEL KLOSTER
  • NPI Number: 1770581829
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 17D0975560
LAB Type Ambulatory Surgery Center
Facility Name PHYSICIANS SURGERY CENTER, LLC
Street 3840 W 75TH STREET
City PRAIRIE VILLAGE
State KS
ZIP 66208
Phone 913 384-9600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2024
Certificate Expiration Date 7/10/2026
Facility Type Ambulatory Surgery Center
Lab Director DANIEL KLOSTER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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