17D2325446 CLIA NUMBER - KANSAS CITY SURGICAL TREATMENT CENTER, LLC

Laboratory Demographics

  • CLIA Code: 17D2325446
  • Facility Name: KANSAS CITY SURGICAL TREATMENT CENTER, LLC
  • Facility Address: 16801 W 116TH ST
    LENEXA, KS
    ZIP 66219
  • Facility Phone: 913 884-1659
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MELISSA L. FOSSETT
  • NPI Number: 1073180675
  • Taxonomy: 261QV0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D2325446
LAB Type Ambulatory Surgery Center
Facility Name KANSAS CITY SURGICAL TREATMENT CENTER, LLC
Street 16801 W 116TH ST
City LENEXA
State KS
ZIP 66219
Phone 913 884-1659
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2025
Certificate Expiration Date 6/11/2027
Facility Type Ambulatory Surgery Center
Lab Director MELISSA L. FOSSETT

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