17D2023004 CLIA NUMBER - RETINA ASSOCIATES, LLC

Laboratory Demographics

  • CLIA Code: 17D2023004
  • Facility Name: RETINA ASSOCIATES, LLC
  • Facility Address: 8600 QUIVIRA
    LENEXA, KS
    ZIP 66215
  • Facility Phone: 913 831-7400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BLAKE A. COOPER
  • NPI Number: 1609818913
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 17D2023004
LAB Type Physician Office
Facility Name RETINA ASSOCIATES, LLC
Street 8600 QUIVIRA
City LENEXA
State KS
ZIP 66215
Phone 913 831-7400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2025
Certificate Expiration Date 4/13/2027
Facility Type Physician Office
Lab Director BLAKE A. COOPER

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