17D2312421 CLIA NUMBER - OHKCSC, LLC

Laboratory Demographics

  • CLIA Code: 17D2312421
  • Facility Name: OHKCSC, LLC
  • Facility Address: 8800 BALLENTINE STREET
    OVERLAND PARK, KS
    ZIP 66214
  • Facility Phone: 913 363-2663
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JEFFREY BRADLEY
  • NPI Number: 1831933480
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D2312421
LAB Type Ambulatory Surgery Center
Facility Name OHKCSC, LLC
Street 8800 BALLENTINE STREET
City OVERLAND PARK
State KS
ZIP 66214
Phone 913 363-2663
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2024
Certificate Expiration Date 10/9/2026
Facility Type Ambulatory Surgery Center
Lab Director JEFFREY BRADLEY

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