17D1025577 CLIA NUMBER - MIDWEST REPRODUCTIVE CENTER

Laboratory Demographics

CLIA Number: 17D1025577

Facility Name: MIDWEST REPRODUCTIVE CENTER

Facility Address:
20375 WEST 151ST STREET SUITE 403
OLATHE, KS
ZIP 66061
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Facility Phone Number: 913 780-4300

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1992893200

Taxonomy: 207VE0102X - Obstetrics & Gynecology
An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.

CLIA Record

Field Name	Field Value
CLIA Number	17D1025577
LAB Type	Physician Office
Facility Name	MIDWEST REPRODUCTIVE CENTER
Street	20375 WEST 151ST STREET SUITE 403
City	OLATHE
State	KS
ZIP	66061
Phone	913 780-4300
CertificateType	2
CertificateEffectiveDate	11/10/2023
CertificateExpirationDate	11/9/2025
FacilityType	Compliance

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This page was last updated on: 4/23/2024