17D1015790 CLIA NUMBER - LINDA L DORZAB, MD

Laboratory Demographics

  • CLIA Code: 17D1015790
  • Facility Name: LINDA L DORZAB, MD
  • Facility Address: 3464 WEST 171ST STREET
    STILWELL, KS
    ZIP 66085
  • Facility Phone: 913 851-8669
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LINDA L. DORZAB, MD
  • NPI Number: 1013072313
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 17D1015790
LAB Type Physician Office
Facility Name LINDA L DORZAB, MD
Street 3464 WEST 171ST STREET
City STILWELL
State KS
ZIP 66085
Phone 913 851-8669
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2025
Certificate Expiration Date 8/12/2027
Facility Type Physician Office
Lab Director LINDA L. DORZAB, MD

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