26D0895180 CLIA NUMBER - FAMILY MEDICINE ASSOCIATES

Laboratory Demographics

CLIA Number: 26D0895180

Facility Name: FAMILY MEDICINE ASSOCIATES

Facility Address:
2303 VILLAGE DR
SAINT JOSEPH, MO
ZIP 64506
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Facility Phone Number: 816 901-1066

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1467497677

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	26D0895180
LAB Type	Federally Qualified Health Center
Facility Name	FAMILY MEDICINE ASSOCIATES
Street	2303 VILLAGE DR
City	SAINT JOSEPH
State	MO
ZIP	64506
Phone	816 901-1066
CertificateType	4
CertificateEffectiveDate	1/26/2024
CertificateExpirationDate	1/25/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024