17D1102147 CLIA NUMBER - EPIC SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 17D1102147
  • Facility Name: EPIC SURGERY CENTER LLC
  • Facility Address: 11261 NALL SUITE 200
    LEAWOOD, KS
    ZIP 66211
  • Facility Phone: 913 671-3290
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: KRISHNA ROHIT
  • NPI Number: 1740794973
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D1102147
LAB Type Ambulatory Surgery Center
Facility Name EPIC SURGERY CENTER LLC
Street 11261 NALL SUITE 200
City LEAWOOD
State KS
ZIP 66211
Phone 913 671-3290
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2025
Certificate Expiration Date 7/12/2027
Facility Type Ambulatory Surgery Center
Lab Director KRISHNA ROHIT

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