26D0694401 CLIA NUMBER - CONSULTANTS IN GASTROENTEROLOGY PC

Laboratory Demographics

  • CLIA Code: 26D0694401
  • Facility Name: CONSULTANTS IN GASTROENTEROLOGY PC
  • Facility Address: 2525 GLENN HENDREN DRIVE, STE 308
    LIBERTY, MO
    ZIP 64068
  • Facility Phone: 816 478-4887
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNEFER NICHOL
  • NPI Number: 1932189768
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 26D0694401
LAB Type Physician Office
Facility Name CONSULTANTS IN GASTROENTEROLOGY PC
Street 2525 GLENN HENDREN DRIVE, STE 308
City LIBERTY
State MO
ZIP 64068
Phone 816 478-4887
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 Physician Office
Lab Director JENNEFER NICHOL

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