17D2074553 CLIA NUMBER - KC BARIATRIC

Laboratory Demographics

  • CLIA Code: 17D2074553
  • Facility Name: KC BARIATRIC
  • Facility Address: 21975 W 83RD ST
    LENEXA, KS
    ZIP 66227
  • Facility Phone: 913 677-6319
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: JOANNE MAGGART
  • NPI Number: 1992945307
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 17D2074553
LAB Type Independent
Facility Name KC BARIATRIC
Street 21975 W 83RD ST
City LENEXA
State KS
ZIP 66227
Phone 913 677-6319
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/11/2025
Certificate Expiration Date 2/10/2027
Facility Type Independent
Lab Director JOANNE MAGGART

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