17D2058310 CLIA NUMBER - HEARTLAND - PRAIRIE STAR

Laboratory Demographics

  • CLIA Code: 17D2058310
  • Facility Name: HEARTLAND - PRAIRIE STAR
  • Facility Address: 9300 MEADOWVIEW DRIVE
    LENEXA, KS
    ZIP 66227
  • Facility Phone: 913 601-4500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID YU
  • NPI Number: 1699250621
  • Taxonomy: 207VB0002X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 17D2058310
LAB Type Physician Office
Facility Name HEARTLAND - PRAIRIE STAR
Street 9300 MEADOWVIEW DRIVE
City LENEXA
State KS
ZIP 66227
Phone 913 601-4500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2025
Certificate Expiration Date 5/2/2027
Facility Type Physician Office
Lab Director DAVID YU

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