17D1070239 CLIA NUMBER - FAMILY MEDICINE COLLEGE POINT MEDICAL PAVILION

Laboratory Demographics

  • CLIA Code: 17D1070239
  • Facility Name: FAMILY MEDICINE COLLEGE POINT MEDICAL PAVILION
  • Facility Address: 23450 COLLEGE BLVD
    OLATHE, KS
    ZIP 66061
  • Facility Phone: 913 764-7788
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. KATIE ALDIS
  • NPI Number: 1598784639
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 17D1070239
LAB Type Physician Office
Facility Name FAMILY MEDICINE COLLEGE POINT MEDICAL PAVILION
Street 23450 COLLEGE BLVD
City OLATHE
State KS
ZIP 66061
Phone 913 764-7788
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/26/2024
Certificate Expiration Date 6/25/2026
Facility Type Physician Office
Lab Director MS. KATIE ALDIS

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