26D0443150 CLIA NUMBER - 3RD STREET HEALTHCARE LLC DBA LEE'S SUMMIT PLACE

Laboratory Demographics

  • CLIA Code: 26D0443150
  • Facility Name: 3RD STREET HEALTHCARE LLC DBA LEE'S SUMMIT PLACE
  • Facility Address: 1501 SW 3RD STREET
    LEES SUMMIT, MO
    ZIP 64081
  • Facility Phone: 816 525-6300
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MICHAEL GAWLAK
  • NPI Number: 1164912911
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0443150
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name 3RD STREET HEALTHCARE LLC DBA LEE'S SUMMIT PLACE
Street 1501 SW 3RD STREET
City LEES SUMMIT
State MO
ZIP 64081
Phone 816 525-6300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/16/2024
Certificate Expiration Date 1/15/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MICHAEL GAWLAK

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