26D0442915 CLIA NUMBER - INDEPENDENCE WOMENS CLINIC, PC

Laboratory Demographics

  • CLIA Code: 26D0442915
  • Facility Name: INDEPENDENCE WOMENS CLINIC, PC
  • Facility Address: 19550 E 39TH ST S, SUITE 30
    INDEPENDENCE, MO
    ZIP 64057
  • Facility Phone: 816 478-0220
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: TIMOTHY A. HALL
  • NPI Number: 1427828102
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 26D0442915
LAB Type Physician Office
Facility Name INDEPENDENCE WOMENS CLINIC, PC
Street 19550 E 39TH ST S, SUITE 30
City INDEPENDENCE
State MO
ZIP 64057
Phone 816 478-0220
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director TIMOTHY A. HALL

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