17D1019342 CLIA NUMBER - HILLSIDE VILLAGE OF DE SOTO REHABILITATION AND NURSING CENTER

Laboratory Demographics

  • CLIA Code: 17D1019342
  • Facility Name: HILLSIDE VILLAGE OF DE SOTO REHABILITATION AND NURSING CENTER
  • Facility Address: 33600 W 85TH STREET
    DE SOTO, KS
    ZIP 66018
  • Facility Phone: 913 583-1260
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JESSICA LEE
  • NPI Number: 1801997101
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 17D1019342
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HILLSIDE VILLAGE OF DE SOTO REHABILITATION AND NURSING CENTER
Street 33600 W 85TH STREET
City DE SOTO
State KS
ZIP 66018
Phone 913 583-1260
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2023
Certificate Expiration Date 11/16/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JESSICA LEE

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