17D2263120 CLIA NUMBER - ASCENTIST PHYSICIANS GROUP, LLC

Laboratory Demographics

  • CLIA Code: 17D2263120
  • Facility Name: ASCENTIST PHYSICIANS GROUP, LLC
  • Facility Address: 4820 COLLEGE BLVD
    OVERLAND PARK, KS
    ZIP 66211
  • Facility Phone: 913 491-3999
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DOUGLAS COWAN
  • NPI Number: 1871698472
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 17D2263120
LAB Type Physician Office
Facility Name ASCENTIST PHYSICIANS GROUP, LLC
Street 4820 COLLEGE BLVD
City OVERLAND PARK
State KS
ZIP 66211
Phone 913 491-3999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/23/2024
Certificate Expiration Date 6/22/2026
Facility Type Physician Office
Lab Director DOUGLAS COWAN

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