17D2230117 CLIA NUMBER - MID AMERICA PAIN CLINIC, LLC

Laboratory Demographics

  • CLIA Code: 17D2230117
  • Facility Name: MID AMERICA PAIN CLINIC, LLC
  • Facility Address: 7100 COLLEGE BLVD
    OVERLAND PARK, KS
    ZIP 66210
  • Facility Phone: 913 599-0551
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RENJINI R. CHANDRA
  • NPI Number: 1124087861
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 17D2230117
LAB Type Physician Office
Facility Name MID AMERICA PAIN CLINIC, LLC
Street 7100 COLLEGE BLVD
City OVERLAND PARK
State KS
ZIP 66210
Phone 913 599-0551
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2025
Certificate Expiration Date 7/19/2027
Facility Type Physician Office
Lab Director RENJINI R. CHANDRA

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