26D0445048 CLIA NUMBER - RICHARD J WALSH MD LLC

Laboratory Demographics

  • CLIA Code: 26D0445048
  • Facility Name: RICHARD J WALSH MD LLC
  • Facility Address: 3917 SHERMAN AVE
    SAINT JOSEPH, MO
    ZIP 64506
  • Facility Phone: 816 364-6777
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RICHARD J. WALSH
  • NPI Number: 1952385437
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 26D0445048
LAB Type Physician Office
Facility Name RICHARD J WALSH MD LLC
Street 3917 SHERMAN AVE
City SAINT JOSEPH
State MO
ZIP 64506
Phone 816 364-6777
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 RICHARD J. WALSH

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