26D0679494 CLIA NUMBER - GOPPERT-TRINITY FAMILY CARE

Laboratory Demographics

  • CLIA Code: 26D0679494
  • Facility Name: GOPPERT-TRINITY FAMILY CARE
  • Facility Address: 6675 HOLMES, SUITE 360
    KANSAS CITY, MO
    ZIP 64131
  • Facility Phone: (816) 726-7600
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JENNIFER KELLEY
  • NPI Number: 1366754269
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 26D0679494
LAB Type Physician Office
Facility Name GOPPERT-TRINITY FAMILY CARE
Street 6675 HOLMES, SUITE 360
City KANSAS CITY
State MO
ZIP 64131
Phone 8167267600
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 9/12/2024
Certificate Expiration Date 9/11/2026
Facility Type Physician Office
Lab Director JENNIFER KELLEY

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This page was last updated on: 5/18/2026