17D2240785 CLIA NUMBER - KANSAS SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 17D2240785
  • Facility Name: KANSAS SURGERY CENTER, LLC
  • Facility Address: 10995 QUIVIRA RD, SUITE 200
    OVERLAND PARK, KS
    ZIP 66210
  • Facility Phone: 913 339-9437
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MAHOUA RAY
  • NPI Number: 1366117988
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D2240785
LAB Type Ambulatory Surgery Center
Facility Name KANSAS SURGERY CENTER, LLC
Street 10995 QUIVIRA RD, SUITE 200
City OVERLAND PARK
State KS
ZIP 66210
Phone 913 339-9437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2025
Certificate Expiration Date 10/21/2027
Facility Type Ambulatory Surgery Center
Lab Director MAHOUA RAY

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