26D0695591 CLIA NUMBER - UNIVERSITY HEALTH - JACKSON COUNTY HEALTH DEPARTMENT

Laboratory Demographics

  • CLIA Code: 26D0695591
  • Facility Name: UNIVERSITY HEALTH - JACKSON COUNTY HEALTH DEPARTMENT
  • Facility Address: 3651 NE RALPH POWELL ROAD
    LEES SUMMIT, MO
    ZIP 64064
  • Facility Phone: 816 404-0558
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: EVANTHIA OMOSCHARKA
  • NPI Number: 1861697955
  • Taxonomy: 261QP0905X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D0695591
LAB Type Community Clinic
Facility Name UNIVERSITY HEALTH - JACKSON COUNTY HEALTH DEPARTMENT
Street 3651 NE RALPH POWELL ROAD
City LEES SUMMIT
State MO
ZIP 64064
Phone 816 404-0558
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2025
Certificate Expiration Date 4/30/2027
Facility Type Community Clinic
Lab Director EVANTHIA OMOSCHARKA

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