17D0988082 CLIA NUMBER - ABERDEEN VILLAGE

Laboratory Demographics

  • CLIA Code: 17D0988082
  • Facility Name: ABERDEEN VILLAGE
  • Facility Address: 17500 W 119TH ST
    OLATHE, KS
    ZIP 66061
  • Facility Phone: 913 599-6100
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CHARLES L. DAVIS
  • NPI Number: 1316058373
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 17D0988082
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ABERDEEN VILLAGE
Street 17500 W 119TH ST
City OLATHE
State KS
ZIP 66061
Phone 913 599-6100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2025
Certificate Expiration Date 6/18/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director CHARLES L. DAVIS

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