17D1031885 CLIA NUMBER - HOMESTEAD OF OLATHE - NORTH

Laboratory Demographics

  • CLIA Code: 17D1031885
  • Facility Name: HOMESTEAD OF OLATHE - NORTH
  • Facility Address: 791 N SOMERSET TERRACE
    OLATHE, KS
    ZIP 66062
  • Facility Phone: 913 829-1403
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: AMANDA LOPEZ
  • NPI Number: 1497815252
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 17D1031885
LAB Type Assisted Living Facility
Facility Name HOMESTEAD OF OLATHE - NORTH
Street 791 N SOMERSET TERRACE
City OLATHE
State KS
ZIP 66062
Phone 913 829-1403
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2024
Certificate Expiration Date 6/16/2026
Facility Type Assisted Living Facility
Lab Director AMANDA LOPEZ

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This page was last updated on: 3/20/2025