17D2311564 CLIA NUMBER - TRINITY PRIMARY CARE AND WOUND SPECIALISTS LLC

Laboratory Demographics

  • CLIA Code: 17D2311564
  • Facility Name: TRINITY PRIMARY CARE AND WOUND SPECIALISTS LLC
  • Facility Address: 8043 STATE AVE
    KANSAS CITY, KS
    ZIP 66112
  • Facility Phone: (913) 285-5553
  • Facility Type: Other - PRIMARY CARE OFFICE
  • Facility Type: Waiver
  • Lab Director: JUDITH M. KIMATU
  • NPI Number: 1710699285
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D2311564
LAB Type Other - PRIMARY CARE OFFICE
Facility Name TRINITY PRIMARY CARE AND WOUND SPECIALISTS LLC
Street 8043 STATE AVE
City KANSAS CITY
State KS
ZIP 66112
Phone 9132855553
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2024
Certificate Expiration Date 9/23/2026
Facility Type Other - PRIMARY CARE OFFICE
Lab Director JUDITH M. KIMATU

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This page was last updated on: 5/18/2026