17D0985040 CLIA NUMBER - FOR WOMEN ONLY

Laboratory Demographics

  • CLIA Code: 17D0985040
  • Facility Name: FOR WOMEN ONLY
  • Facility Address: 4550 WEST 109TH SUITE 130
    OVERLAND PARK, KS
    ZIP 66211
  • Facility Phone: 913 541-9495
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JAMES MIRABILE MD
  • NPI Number: 1972656528
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D0985040
LAB Type Physician Office
Facility Name FOR WOMEN ONLY
Street 4550 WEST 109TH SUITE 130
City OVERLAND PARK
State KS
ZIP 66211
Phone 913 541-9495
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/5/2025
Certificate Expiration Date 4/4/2027
Facility Type Physician Office
Lab Director JAMES MIRABILE MD

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