17D2037549 CLIA NUMBER - HENRY J KANAREK ALLERGY, ASTHMA, AND IMMUNOLOGY

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Laboratory Demographics

CLIA Number: 17D2037549

Facility Name: HENRY J KANAREK ALLERGY, ASTHMA, AND IMMUNOLOGY

Facility Address:
4601 W 109TH STREET SUITE 350
OVERLAND PARK, KS
ZIP 66211
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Facility Phone Number: 913 451-8555

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1801983408

Taxonomy: 207K00000X - Allergy & Immunology
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

CLIA Record

Field Name	Field Value
CLIA Number	17D2037549
LAB Type	Physician Office
Facility Name	HENRY J KANAREK ALLERGY, ASTHMA, AND IMMUNOLOGY
Street	4601 W 109TH STREET SUITE 350
City	OVERLAND PARK
State	KS
ZIP	66211
Phone	913 451-8555
CertificateType	4
CertificateEffectiveDate	3/12/2024
CertificateExpirationDate	3/11/2026
FacilityType	Waiver

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