26D0687479 CLIA NUMBER - CORPORATE LAKES UROLOGY, LLC

Laboratory Demographics

  • CLIA Code: 26D0687479
  • Facility Name: CORPORATE LAKES UROLOGY, LLC
  • Facility Address: 6740 W 121ST STREET SUITE 350
    OVERLAND PARK, KS
    ZIP 66209
  • Facility Phone: 913 948-8365
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BILLY B. PERRY MD
  • NPI Number: 1124482187
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 26D0687479
LAB Type Physician Office
Facility Name CORPORATE LAKES UROLOGY, LLC
Street 6740 W 121ST STREET SUITE 350
City OVERLAND PARK
State KS
ZIP 66209
Phone 913 948-8365
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/26/2025
Certificate Expiration Date 5/25/2027
Facility Type Physician Office
Lab Director BILLY B. PERRY MD

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