17D2057488 CLIA NUMBER - COLONIAL OAKS BLACKHAWK LLC

Laboratory Demographics

  • CLIA Code: 17D2057488
  • Facility Name: COLONIAL OAKS BLACKHAWK LLC
  • Facility Address: 22550 S FRANKLIN ST
    SPRING HILL, KS
    ZIP 66083
  • Facility Phone: 913 686-3170
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ANGELA M. CAREY
  • NPI Number: 1982273363
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 17D2057488
LAB Type Assisted Living Facility
Facility Name COLONIAL OAKS BLACKHAWK LLC
Street 22550 S FRANKLIN ST
City SPRING HILL
State KS
ZIP 66083
Phone 913 686-3170
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2024
Certificate Expiration Date 10/19/2026
Facility Type Assisted Living Facility
Lab Director ANGELA M. CAREY

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