26D0445074 CLIA NUMBER - CARRIAGE SQUARE

Laboratory Demographics

  • CLIA Code: 26D0445074
  • Facility Name: CARRIAGE SQUARE
  • Facility Address: 4009 GENE FIELD RD
    SAINT JOSEPH, MO
    ZIP 64506
  • Facility Phone: 816 364-1526
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ROBIN R. WILSEY
  • NPI Number: 1780358473
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0445074
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CARRIAGE SQUARE
Street 4009 GENE FIELD RD
City SAINT JOSEPH
State MO
ZIP 64506
Phone 816 364-1526
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 ROBIN R. WILSEY

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