17D1057438 CLIA NUMBER - DEER CREEK SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 17D1057438
  • Facility Name: DEER CREEK SURGERY CENTER
  • Facility Address: 7220 W 129TH STREET
    OVERLAND PARK, KS
    ZIP 66213
  • Facility Phone: 913 897-0022
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MICHAEL STILES
  • NPI Number: 1528099207
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D1057438
LAB Type Ambulatory Surgery Center
Facility Name DEER CREEK SURGERY CENTER
Street 7220 W 129TH STREET
City OVERLAND PARK
State KS
ZIP 66213
Phone 913 897-0022
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2024
Certificate Expiration Date 5/16/2026
Facility Type Ambulatory Surgery Center
Lab Director MICHAEL STILES

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