17D0909123 CLIA NUMBER - DOUGLAS B KNOX MD, PA

Laboratory Demographics

  • CLIA Code: 17D0909123
  • Facility Name: DOUGLAS B KNOX MD, PA
  • Facility Address: 1010 CARONDELET DRIVE, SUITE 140
    KANSAS CITY, MO
    ZIP 64114
  • Facility Phone: 816 943-0199
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DOUGLAS B. KNOX MD
  • NPI Number: 1043212293
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 17D0909123
LAB Type Physician Office
Facility Name DOUGLAS B KNOX MD, PA
Street 1010 CARONDELET DRIVE, SUITE 140
City KANSAS CITY
State MO
ZIP 64114
Phone 816 943-0199
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 7/1/2024
Certificate Expiration Date 6/30/2026
Facility Type Physician Office
Lab Director DOUGLAS B. KNOX MD

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