17D2291179 CLIA NUMBER - MED-TRANS CORP DBA LIFE STAR OF KANSAS

Laboratory Demographics

  • CLIA Code: 17D2291179
  • Facility Name: MED-TRANS CORP DBA LIFE STAR OF KANSAS
  • Facility Address: 1930 N 7TH ST
    LAWRENCE, KS
    ZIP 66044
  • Facility Phone: 816 289-8346
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: BRIAN POPE
  • NPI Number: 1760966303
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 17D2291179
LAB Type Ambulance
Facility Name MED-TRANS CORP DBA LIFE STAR OF KANSAS
Street 1930 N 7TH ST
City LAWRENCE
State KS
ZIP 66044
Phone 816 289-8346
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2023
Certificate Expiration Date 10/4/2025
Facility Type Ambulance
Lab Director BRIAN POPE

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