17D2213125 CLIA NUMBER - ADS AMBULATORY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 17D2213125
  • Facility Name: ADS AMBULATORY SURGERY CENTER
  • Facility Address: 6901 W 121ST ST SUITE B
    OVERLAND PARK, KS
    ZIP 66209
  • Facility Phone: 913 661-1755
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: THOMAS L. HOCKER
  • NPI Number: 1649376757
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D2213125
LAB Type Ambulatory Surgery Center
Facility Name ADS AMBULATORY SURGERY CENTER
Street 6901 W 121ST ST SUITE B
City OVERLAND PARK
State KS
ZIP 66209
Phone 913 661-1755
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 Ambulatory Surgery Center
Lab Director THOMAS L. HOCKER

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