17D2144631 CLIA NUMBER - MAO LEAWOOD ASC, LLC

Laboratory Demographics

  • CLIA Code: 17D2144631
  • Facility Name: MAO LEAWOOD ASC, LLC
  • Facility Address: 4940 W 137TH ST, SUITE A
    LEAWOOD, KS
    ZIP 66224
  • Facility Phone: 913 766-9014
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: PAT D. DO
  • NPI Number: 1689173981
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D2144631
LAB Type Ambulatory Surgery Center
Facility Name MAO LEAWOOD ASC, LLC
Street 4940 W 137TH ST, SUITE A
City LEAWOOD
State KS
ZIP 66224
Phone 913 766-9014
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2024
Certificate Expiration Date 2/20/2026
Facility Type Ambulatory Surgery Center
Lab Director PAT D. DO

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