26D0443887 CLIA NUMBER - CHILDREN'S MERCY - CRADLE THRU COLLEGE CARE, INC

Laboratory Demographics

  • CLIA Code: 26D0443887
  • Facility Name: CHILDREN'S MERCY - CRADLE THRU COLLEGE CARE, INC
  • Facility Address: 1004 CARONDELET DR, SUITE #310
    KANSAS CITY, MO
    ZIP 64114
  • Facility Phone: 816 942-5437
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ELLEN S. GLOTZBACH
  • NPI Number: 1750891537
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 26D0443887
LAB Type Practitioner Other
Facility Name CHILDREN'S MERCY - CRADLE THRU COLLEGE CARE, INC
Street 1004 CARONDELET DR, SUITE #310
City KANSAS CITY
State MO
ZIP 64114
Phone 816 942-5437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2024
Certificate Expiration Date 3/31/2026
Facility Type Practitioner Other
Lab Director ELLEN S. GLOTZBACH

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This page was last updated on: 6/4/2025