17D1068890 CLIA NUMBER - KIDS TLC, INC

Laboratory Demographics

  • CLIA Code: 17D1068890
  • Facility Name: KIDS TLC, INC
  • Facility Address: 480 SOUTH ROGERS ROAD
    OLATHE, KS
    ZIP 66062
  • Facility Phone: 913 764-2887
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: ANNETTE STAGG
  • NPI Number: 1295177814
  • Taxonomy: 103K00000X - Behavior Analyst

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CLIA Record

Field Name Field Value
CLIA Number 17D1068890
LAB Type Other
Facility Name KIDS TLC, INC
Street 480 SOUTH ROGERS ROAD
City OLATHE
State KS
ZIP 66062
Phone 913 764-2887
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2025
Certificate Expiration Date 5/21/2027
Facility Type Other
Lab Director ANNETTE STAGG

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