17D2055820 CLIA NUMBER - BURLINGAME & MOCK VISION ASSOCIATES

Laboratory Demographics

  • CLIA Code: 17D2055820
  • Facility Name: BURLINGAME & MOCK VISION ASSOCIATES
  • Facility Address: 11500 WEST 119TH STREET
    OVERLAND PARK, KS
    ZIP 66213
  • Facility Phone: (913) 451-0001
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JAY J. BURLINGAME
  • NPI Number: 1457486375
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 17D2055820
LAB Type Practitioner Other
Facility Name BURLINGAME & MOCK VISION ASSOCIATES
Street 11500 WEST 119TH STREET
City OVERLAND PARK
State KS
ZIP 66213
Phone 9134510001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2025
Certificate Expiration Date 3/17/2027
Facility Type Practitioner Other
Lab Director JAY J. BURLINGAME

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This page was last updated on: 6/29/2026