17D2084297 CLIA NUMBER - KANNARR EYE CARE

Laboratory Demographics

  • CLIA Code: 17D2084297
  • Facility Name: KANNARR EYE CARE
  • Facility Address: 2521 NORTH BROADWAY
    PITTSBURG, KS
    ZIP 66762
  • Facility Phone: 620 235-1737
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHANE R. KANNARR
  • NPI Number: 1417556382
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 17D2084297
LAB Type Physician Office
Facility Name KANNARR EYE CARE
Street 2521 NORTH BROADWAY
City PITTSBURG
State KS
ZIP 66762
Phone 620 235-1737
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Physician Office
Lab Director SHANE R. KANNARR

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