17D2040601 CLIA NUMBER - CCRC OF LENEXA, LLC DBA WESTCHESTER VILLAGE OF LENEXA

Laboratory Demographics

  • CLIA Code: 17D2040601
  • Facility Name: CCRC OF LENEXA, LLC DBA WESTCHESTER VILLAGE OF LENEXA
  • Facility Address: 8505 PFLUMM ROAD
    LENEXA, KS
    ZIP 66215
  • Facility Phone: 913 307-2000
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: HALEY NICKLES
  • NPI Number: 1144734088
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 17D2040601
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CCRC OF LENEXA, LLC DBA WESTCHESTER VILLAGE OF LENEXA
Street 8505 PFLUMM ROAD
City LENEXA
State KS
ZIP 66215
Phone 913 307-2000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2024
Certificate Expiration Date 5/3/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director HALEY NICKLES

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