17D2115313 CLIA NUMBER - KANSAS CITY UROLOGY CARE, PA

Laboratory Demographics

CLIA Number: 17D2115313

Facility Name: KANSAS CITY UROLOGY CARE, PA

Facility Address:
2102 BAPTISTE DR STE A
PAOLA, KS
ZIP 66071
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Facility Phone Number: 913 780-3388

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1033512637

Taxonomy: 171W00000X - Contractor
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

CLIA Record

Field Name	Field Value
CLIA Number	17D2115313
LAB Type	Physician Office
Facility Name	KANSAS CITY UROLOGY CARE, PA
Street	2102 BAPTISTE DR STE A
City	PAOLA
State	KS
ZIP	66071
Phone	913 780-3388
CertificateType	3
CertificateEffectiveDate	7/5/2022
CertificateExpirationDate	7/4/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024