17D0986666 CLIA NUMBER - SWOPEHEALTH KIDSCARE GOLON PEDIATRICS

Laboratory Demographics

  • CLIA Code: 17D0986666
  • Facility Name: SWOPEHEALTH KIDSCARE GOLON PEDIATRICS
  • Facility Address: 1001 SIXTH AVENUE SUITE 210
    LEAVENWORTH, KS
    ZIP 66048
  • Facility Phone: 816 923-5800
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: KENNETH THOMAS
  • NPI Number: 1902224504
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 17D0986666
LAB Type Federally Qualified Health Center
Facility Name SWOPEHEALTH KIDSCARE GOLON PEDIATRICS
Street 1001 SIXTH AVENUE SUITE 210
City LEAVENWORTH
State KS
ZIP 66048
Phone 816 923-5800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2025
Certificate Expiration Date 5/20/2027
Facility Type Federally Qualified Health Center
Lab Director KENNETH THOMAS

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