17D2023632 CLIA NUMBER - COLLEGE PARK FAMILY CARE CENTER OLATHE

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Laboratory Demographics

CLIA Number: 17D2023632

Facility Name: COLLEGE PARK FAMILY CARE CENTER OLATHE

Facility Address:
11164 NOBLE DRIVE
OLATHE, KS
ZIP 66061
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Facility Phone Number: 913 829-2440

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1366607764

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	17D2023632
LAB Type	Physician Office
Facility Name	COLLEGE PARK FAMILY CARE CENTER OLATHE
Street	11164 NOBLE DRIVE
City	OLATHE
State	KS
ZIP	66061
Phone	913 829-2440
CertificateType	3
CertificateEffectiveDate	10/29/2023
CertificateExpirationDate	10/28/2025
FacilityType	PPMP

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