17D2071733 CLIA NUMBER - KANNARR EYE CARE

Laboratory Demographics

  • CLIA Code: 17D2071733
  • Facility Name: KANNARR EYE CARE
  • Facility Address: 101 NORTH BROADWAY
    PITTSBURG, KS
    ZIP 66762
  • Facility Phone: 620 232-3277
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHANE R. KANNARR
  • NPI Number: 1396116935
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 17D2071733
LAB Type Physician Office
Facility Name KANNARR EYE CARE
Street 101 NORTH BROADWAY
City PITTSBURG
State KS
ZIP 66762
Phone 620 232-3277
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2024
Certificate Expiration Date 9/16/2026
Facility Type Physician Office
Lab Director SHANE R. KANNARR

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