17D2251693 CLIA NUMBER - WARREN RETINA ASSOCIATES PA

Laboratory Demographics

  • CLIA Code: 17D2251693
  • Facility Name: WARREN RETINA ASSOCIATES PA
  • Facility Address: 10100 W 119TH ST STE 260
    OVERLAND PARK, KS
    ZIP 66213
  • Facility Phone: 913 339-6970
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEITH A. WARREN
  • NPI Number: 1013984129
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 17D2251693
LAB Type Physician Office
Facility Name WARREN RETINA ASSOCIATES PA
Street 10100 W 119TH ST STE 260
City OVERLAND PARK
State KS
ZIP 66213
Phone 913 339-6970
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2024
Certificate Expiration Date 2/3/2026
Facility Type Physician Office
Lab Director KEITH A. WARREN

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