17D1087870 CLIA NUMBER - JOHNSON COUNTY DIALYSIS

Laboratory Demographics

  • CLIA Code: 17D1087870
  • Facility Name: JOHNSON COUNTY DIALYSIS
  • Facility Address: 10453 WEST 84TH TERRACE
    LENEXA, KS
    ZIP 66214
  • Facility Phone: 913 492-2044
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RICHARD A. HUSEMAN MD
  • NPI Number: 1033110036
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 17D1087870
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name JOHNSON COUNTY DIALYSIS
Street 10453 WEST 84TH TERRACE
City LENEXA
State KS
ZIP 66214
Phone 913 492-2044
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2024
Certificate Expiration Date 8/12/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director RICHARD A. HUSEMAN MD

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: 9/29/2025