17D2175597 CLIA NUMBER - HEALTH PARTNERSHIP CLINIC

Laboratory Demographics

  • CLIA Code: 17D2175597
  • Facility Name: HEALTH PARTNERSHIP CLINIC
  • Facility Address: 9119 W 74TH ST, STE 210
    SHAWNEE MISSION, KS
    ZIP 66204
  • Facility Phone: 913 648-2266
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: WAEL MOURAD
  • NPI Number: 1720437007
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D2175597
LAB Type Federally Qualified Health Center
Facility Name HEALTH PARTNERSHIP CLINIC
Street 9119 W 74TH ST, STE 210
City SHAWNEE MISSION
State KS
ZIP 66204
Phone 913 648-2266
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/25/2023
Certificate Expiration Date 11/24/2025
Facility Type Federally Qualified Health Center
Lab Director WAEL MOURAD

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This page was last updated on: 3/20/2025