26D0721984 CLIA NUMBER - CITY OF ST JOSEPH HEALTH DEPARTMENT

Laboratory Demographics

  • CLIA Code: 26D0721984
  • Facility Name: CITY OF ST JOSEPH HEALTH DEPARTMENT
  • Facility Address: 904 SOUTH 10TH STREET, SUITE E
    SAINT JOSEPH, MO
    ZIP 64503
  • Facility Phone: 816 271-4636
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DEBRA L. BRADLEY
  • NPI Number: 1720102429
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 26D0721984
LAB Type Other
Facility Name CITY OF ST JOSEPH HEALTH DEPARTMENT
Street 904 SOUTH 10TH STREET, SUITE E
City SAINT JOSEPH
State MO
ZIP 64503
Phone 816 271-4636
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 Other
Lab Director DEBRA L. BRADLEY

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This page was last updated on: 3/20/2025