17D2194039 CLIA NUMBER - CARE HAVEN HOMES - SOUTHMOOR

Laboratory Demographics

  • CLIA Code: 17D2194039
  • Facility Name: CARE HAVEN HOMES - SOUTHMOOR
  • Facility Address: 7010 WEST 69TH TERRACE
    OVERLAND PARK, KS
    ZIP 66204
  • Facility Phone: 913 643-0111
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: LOUIS N. BARNETT
  • NPI Number: 1902027006
  • Taxonomy: 311ZA0620X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 17D2194039
LAB Type Assisted Living Facility
Facility Name CARE HAVEN HOMES - SOUTHMOOR
Street 7010 WEST 69TH TERRACE
City OVERLAND PARK
State KS
ZIP 66204
Phone 913 643-0111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2024
Certificate Expiration Date 9/27/2026
Facility Type Assisted Living Facility
Lab Director LOUIS N. BARNETT

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