17D2124141 CLIA NUMBER - LAKEMARY CENTER PSYCHIATRIC RESIDENTIAL FACILITY

Laboratory Demographics

  • CLIA Code: 17D2124141
  • Facility Name: LAKEMARY CENTER PSYCHIATRIC RESIDENTIAL FACILITY
  • Facility Address: 100 LAKEMARY DRIVE
    PAOLA, KS
    ZIP 66071
  • Facility Phone: 913 557-4000
  • Facility Type: Other - PSYCH RESIDENT FACILITY
  • Facility Type: Waiver
  • Lab Director: GEORGE S. THOMPSON
  • NPI Number: 1275508558
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 17D2124141
LAB Type Other - PSYCH RESIDENT FACILITY
Facility Name LAKEMARY CENTER PSYCHIATRIC RESIDENTIAL FACILITY
Street 100 LAKEMARY DRIVE
City PAOLA
State KS
ZIP 66071
Phone 913 557-4000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2025
Certificate Expiration Date 1/9/2027
Facility Type Other - PSYCH RESIDENT FACILITY
Lab Director GEORGE S. THOMPSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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