26D0877997 CLIA NUMBER - ESRY STUDENT HEALTH

Laboratory Demographics

  • CLIA Code: 26D0877997
  • Facility Name: ESRY STUDENT HEALTH
  • Facility Address: 4525 DOWNS DRIVE BLUM 203
    SAINT JOSEPH, MO
    ZIP 64507
  • Facility Phone: 816 271-4495
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: ELIZABETH RODERICK
  • NPI Number: 1962859090
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 26D0877997
LAB Type School/Student Health Service
Facility Name ESRY STUDENT HEALTH
Street 4525 DOWNS DRIVE BLUM 203
City SAINT JOSEPH
State MO
ZIP 64507
Phone 816 271-4495
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2024
Certificate Expiration Date 3/2/2026
Facility Type School/Student Health Service
Lab Director ELIZABETH RODERICK

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