26D0901843 CLIA NUMBER - INDEPENDENCE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 26D0901843
  • Facility Name: INDEPENDENCE PEDIATRICS
  • Facility Address: 4731 S COCHISE DR, SUITE 100
    INDEPENDENCE, MO
    ZIP 64055
  • Facility Phone: 816 373-1111
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHEELA ANANTH
  • NPI Number: 1962532283
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 26D0901843
LAB Type Physician Office
Facility Name INDEPENDENCE PEDIATRICS
Street 4731 S COCHISE DR, SUITE 100
City INDEPENDENCE
State MO
ZIP 64055
Phone 816 373-1111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2024
Certificate Expiration Date 10/3/2026
Facility Type Physician Office
Lab Director SHEELA ANANTH

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