26D0895094 CLIA NUMBER - RAYTOWN ROAD HEALTHCARE LLC DBA ALPINE BREEZE HEALTH AND WELLNESS

Laboratory Demographics

  • CLIA Code: 26D0895094
  • Facility Name: RAYTOWN ROAD HEALTHCARE LLC DBA ALPINE BREEZE HEALTH AND WELLNESS
  • Facility Address: 6124 RAYTOWN ROAD
    RAYTOWN, MO
    ZIP 64133
  • Facility Phone: 816 358-8222
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MICAH MUTUKU
  • NPI Number: 1366932014
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0895094
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name RAYTOWN ROAD HEALTHCARE LLC DBA ALPINE BREEZE HEALTH AND WELLNESS
Street 6124 RAYTOWN ROAD
City RAYTOWN
State MO
ZIP 64133
Phone 816 358-8222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2024
Certificate Expiration Date 11/29/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MICAH MUTUKU

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