26D0443908 CLIA NUMBER - CARONDELET MANOR

Laboratory Demographics

  • CLIA Code: 26D0443908
  • Facility Name: CARONDELET MANOR
  • Facility Address: 621 CARONDELET DR
    KANSAS CITY, MO
    ZIP 64114
  • Facility Phone: 816 943-4777
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DIANNE L. DOCTOR
  • NPI Number: 1902808041
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0443908
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CARONDELET MANOR
Street 621 CARONDELET DR
City KANSAS CITY
State MO
ZIP 64114
Phone 816 943-4777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DIANNE L. DOCTOR

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