17D2075280 CLIA NUMBER - PARK MEADOWS MEMORY CARE

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Field Name	Field Value
CLIA Number	17D2075280
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	PARK MEADOWS MEMORY CARE
Street	5901 WEST 107TH STREET
City	OVERLAND PARK
State	KS
ZIP	66207
Phone	913 901-8200
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	3/25/2024
Certificate Expiration Date	3/24/2026
Facility Type	Skilled Nursing Facility/Nursing Facility
Lab Director	ERNIE GILLIAND

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