17D2297968 CLIA NUMBER - ASCENTIST HEALTHCARE

Laboratory Demographics

  • CLIA Code: 17D2297968
  • Facility Name: ASCENTIST HEALTHCARE
  • Facility Address: 6427 W 119TH STREET
    OVERLAND PARK, KS
    ZIP 66209
  • Facility Phone: 913 728-0386
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMIT MOHAN
  • NPI Number: 1558057661
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 17D2297968
LAB Type Physician Office
Facility Name ASCENTIST HEALTHCARE
Street 6427 W 119TH STREET
City OVERLAND PARK
State KS
ZIP 66209
Phone 913 728-0386
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2024
Certificate Expiration Date 1/24/2026
Facility Type Physician Office
Lab Director AMIT MOHAN

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