17D2167027 CLIA NUMBER - ASCENTIST ASC MERRIAM, LLC

Laboratory Demographics

  • CLIA Code: 17D2167027
  • Facility Name: ASCENTIST ASC MERRIAM, LLC
  • Facility Address: 6815 E FRONTAGE RD SUITE B
    MERRIAM, KS
    ZIP 66204
  • Facility Phone: 913 318-3800
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DOUGLAS COWAN
  • NPI Number: 1255896676
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D2167027
LAB Type Ambulatory Surgery Center
Facility Name ASCENTIST ASC MERRIAM, LLC
Street 6815 E FRONTAGE RD SUITE B
City MERRIAM
State KS
ZIP 66204
Phone 913 318-3800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/31/2025
Certificate Expiration Date 5/30/2027
Facility Type Ambulatory Surgery Center
Lab Director DOUGLAS COWAN

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