17D2021208 CLIA NUMBER - LEAWOOD PEDIATRICS

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Laboratory Demographics

CLIA Number: 17D2021208

Facility Name: LEAWOOD PEDIATRICS

Facility Address:
5401 COLLEGE BLVD, SUITE 101
LEAWOOD, KS
ZIP 66211
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Facility Phone Number: 913 825-3627

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1700184058

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name	Field Value
CLIA Number	17D2021208
LAB Type	Physician Office
Facility Name	LEAWOOD PEDIATRICS
Street	5401 COLLEGE BLVD, SUITE 101
City	LEAWOOD
State	KS
ZIP	66211
Phone	913 825-3627
CertificateType	4
CertificateEffectiveDate	3/8/2023
CertificateExpirationDate	3/7/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024