17D2004958 CLIA NUMBER - CHILDRENS MERCY-PREMIER PEDIATRICS, INC

Laboratory Demographics

  • CLIA Code: 17D2004958
  • Facility Name: CHILDRENS MERCY-PREMIER PEDIATRICS, INC
  • Facility Address: 8675 COLLEGE BOULEVARD, STE 100
    OVERLAND PARK, KS
    ZIP 66210
  • Facility Phone: 913 345-9400
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DEBORAH K. WINBURN-ANTOVONI
  • NPI Number: 1902128259
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 17D2004958
LAB Type Physician Office
Facility Name CHILDRENS MERCY-PREMIER PEDIATRICS, INC
Street 8675 COLLEGE BOULEVARD, STE 100
City OVERLAND PARK
State KS
ZIP 66210
Phone 913 345-9400
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/17/2025
Certificate Expiration Date 3/16/2027
Facility Type Physician Office
Lab Director DEBORAH K. WINBURN-ANTOVONI

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