17D2213124 CLIA NUMBER - SPECIALIZED HOSPICE LLC

Laboratory Demographics

  • CLIA Code: 17D2213124
  • Facility Name: SPECIALIZED HOSPICE LLC
  • Facility Address: 5401 COLLEGE BLVD SUITE 207
    LEAWOOD, KS
    ZIP 66211
  • Facility Phone: 913 717-5704
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: KATIE ABBOTT
  • NPI Number: 1518563154
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 17D2213124
LAB Type Hospice
Facility Name SPECIALIZED HOSPICE LLC
Street 5401 COLLEGE BLVD SUITE 207
City LEAWOOD
State KS
ZIP 66211
Phone 913 717-5704
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2025
Certificate Expiration Date 2/9/2027
Facility Type Hospice
Lab Director KATIE ABBOTT

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