17D1009465 CLIA NUMBER - MIDWEST HEART & VASCULAR SPECIALISTS, LLC

Laboratory Demographics

  • CLIA Code: 17D1009465
  • Facility Name: MIDWEST HEART & VASCULAR SPECIALISTS, LLC
  • Facility Address: 5100 WEST 110TH STREET, 2ND FLOOR
    OVERLAND PARK, KS
    ZIP 66211
  • Facility Phone: 913 253-3000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRIAN FRIEDMAN
  • NPI Number: 1760736615
  • Taxonomy: 207RC0000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 17D1009465
LAB Type Physician Office
Facility Name MIDWEST HEART & VASCULAR SPECIALISTS, LLC
Street 5100 WEST 110TH STREET, 2ND FLOOR
City OVERLAND PARK
State KS
ZIP 66211
Phone 913 253-3000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2025
Certificate Expiration Date 2/13/2027
Facility Type Physician Office
Lab Director BRIAN FRIEDMAN

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: 6/4/2025