17D2138756 CLIA NUMBER - FRONTIER HEALTHCARE

Laboratory Demographics

  • CLIA Code: 17D2138756
  • Facility Name: FRONTIER HEALTHCARE
  • Facility Address: 12140 NALL AVE SUITE 125
    OVERLAND PARK, KS
    ZIP 66209
  • Facility Phone: 913 319-7300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANDREA A. ARVAN
  • NPI Number: 1245741446
  • Taxonomy: 207RG0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 17D2138756
LAB Type Physician Office
Facility Name FRONTIER HEALTHCARE
Street 12140 NALL AVE SUITE 125
City OVERLAND PARK
State KS
ZIP 66209
Phone 913 319-7300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/24/2023
Certificate Expiration Date 10/23/2025
Facility Type Physician Office
Lab Director ANDREA A. ARVAN

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