17D2247296 CLIA NUMBER - CARE BEYOND THE BOULEVARD

Laboratory Demographics

  • CLIA Code: 17D2247296
  • Facility Name: CARE BEYOND THE BOULEVARD
  • Facility Address: 530 QUINDARO BLVD
    KANSAS CITY, KS
    ZIP 66101
  • Facility Phone: 701 484-2273
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: JAYNELL K. ASSMANN
  • NPI Number: 1568040566
  • Taxonomy: 363LP2300X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 17D2247296
LAB Type Mobile Laboratory
Facility Name CARE BEYOND THE BOULEVARD
Street 530 QUINDARO BLVD
City KANSAS CITY
State KS
ZIP 66101
Phone 701 484-2273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2024
Certificate Expiration Date 1/4/2026
Facility Type Mobile Laboratory
Lab Director JAYNELL K. ASSMANN

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