17D1065046 CLIA NUMBER - WESTGLEN EYECARE, PA

Laboratory Demographics

  • CLIA Code: 17D1065046
  • Facility Name: WESTGLEN EYECARE, PA
  • Facility Address: 16202 MIDLAND DRIVE
    SHAWNEE, KS
    ZIP 66217
  • Facility Phone: 913 962-2010
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ANDREA M. SPRUYT, OD
  • NPI Number: 1023178407
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 17D1065046
LAB Type Practitioner Other
Facility Name WESTGLEN EYECARE, PA
Street 16202 MIDLAND DRIVE
City SHAWNEE
State KS
ZIP 66217
Phone 913 962-2010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/20/2025
Certificate Expiration Date 2/19/2027
Facility Type Practitioner Other
Lab Director ANDREA M. SPRUYT, OD

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