17D2152406 CLIA NUMBER - KC CHILDREN'S SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 17D2152406
  • Facility Name: KC CHILDREN'S SURGERY CENTER, LLC
  • Facility Address: 7848 STATE AVENUE
    KANSAS CITY, KS
    ZIP 66112
  • Facility Phone: 717 759-4375
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: LESLEY FARRO
  • NPI Number: 1124522495
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D2152406
LAB Type Ambulatory Surgery Center
Facility Name KC CHILDREN'S SURGERY CENTER, LLC
Street 7848 STATE AVENUE
City KANSAS CITY
State KS
ZIP 66112
Phone 717 759-4375
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2024
Certificate Expiration Date 8/7/2026
Facility Type Ambulatory Surgery Center
Lab Director LESLEY FARRO

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