26D0663809 CLIA NUMBER - LIFE CARE CENTER OF GRANDVIEW

Laboratory Demographics

  • CLIA Code: 26D0663809
  • Facility Name: LIFE CARE CENTER OF GRANDVIEW
  • Facility Address: 6301 E 125TH STREET
    GRANDVIEW, MO
    ZIP 64030
  • Facility Phone: 816 765-7714
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: R SHYAM AKKULUGARI
  • NPI Number: 1700833431
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0663809
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LIFE CARE CENTER OF GRANDVIEW
Street 6301 E 125TH STREET
City GRANDVIEW
State MO
ZIP 64030
Phone 816 765-7714
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 R SHYAM AKKULUGARI

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