17D1062246 CLIA NUMBER - LEAVENWORTH DIALYSIS

Laboratory Demographics

  • CLIA Code: 17D1062246
  • Facility Name: LEAVENWORTH DIALYSIS
  • Facility Address: 831 W EISENHOWER RD
    LANSING, KS
    ZIP 66043
  • Facility Phone: 913 651-1431
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ACHAL DESAL
  • NPI Number: 1669569232
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 17D1062246
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LEAVENWORTH DIALYSIS
Street 831 W EISENHOWER RD
City LANSING
State KS
ZIP 66043
Phone 913 651-1431
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2024
Certificate Expiration Date 12/10/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ACHAL DESAL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025