17D2303312 CLIA NUMBER - EMPOWER PREVENTIVE CARE, PA

Laboratory Demographics

  • CLIA Code: 17D2303312
  • Facility Name: EMPOWER PREVENTIVE CARE, PA
  • Facility Address: 5701 W 119TH ST, STE 220
    OVERLAND PARK, KS
    ZIP 66209
  • Facility Phone: 913 948-6400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL MONACO
  • NPI Number: 1124897905
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D2303312
LAB Type Physician Office
Facility Name EMPOWER PREVENTIVE CARE, PA
Street 5701 W 119TH ST, STE 220
City OVERLAND PARK
State KS
ZIP 66209
Phone 913 948-6400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2024
Certificate Expiration Date 4/22/2026
Facility Type Physician Office
Lab Director MICHAEL MONACO

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