17D2207322 CLIA NUMBER - AVENUE 81 SENIOR LIVING

Laboratory Demographics

  • CLIA Code: 17D2207322
  • Facility Name: AVENUE 81 SENIOR LIVING
  • Facility Address: 8055 METCALF AVENUE
    OVERLAND PARK, KS
    ZIP 66204
  • Facility Phone: 785 228-7971
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: NICHOLAS L. WYSONG
  • NPI Number: 1326652405
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 17D2207322
LAB Type Assisted Living Facility
Facility Name AVENUE 81 SENIOR LIVING
Street 8055 METCALF AVENUE
City OVERLAND PARK
State KS
ZIP 66204
Phone 785 228-7971
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2024
Certificate Expiration Date 12/27/2026
Facility Type Assisted Living Facility
Lab Director NICHOLAS L. WYSONG

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