17D2103254 CLIA NUMBER - KANSAS PAIN MANAGEMENT

Laboratory Demographics

  • CLIA Code: 17D2103254
  • Facility Name: KANSAS PAIN MANAGEMENT
  • Facility Address: 10995 QUIVIRA RD
    OVERLAND PARK, KS
    ZIP 66210
  • Facility Phone: 913 339-9437
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAHOUA RAY
  • NPI Number: 1881347276
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 17D2103254
LAB Type Physician Office
Facility Name KANSAS PAIN MANAGEMENT
Street 10995 QUIVIRA RD
City OVERLAND PARK
State KS
ZIP 66210
Phone 913 339-9437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 8/11/2026
Facility Type Physician Office
Lab Director MAHOUA RAY

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