26D0936844 CLIA NUMBER - TRUMAN MEDICAL CENTER WIC

Laboratory Demographics

CLIA Number: 26D0936844

Facility Name: TRUMAN MEDICAL CENTER WIC

Facility Address:
512 EAST 22ND STREET ATTN SHAUNA ROBERTS, QUALITY RESOURCES
KANSAS CITY, MO
ZIP 64108
Get Directions

Facility Phone Number: 816 404-0650

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1033882683

Taxonomy: 3336S0011X - Pharmacy
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.

CLIA Record

Field Name	Field Value
CLIA Number	26D0936844
LAB Type	Other
Facility Name	TRUMAN MEDICAL CENTER WIC
Street	512 EAST 22ND STREET ATTN SHAUNA ROBERTS, QUALITY RESOURCES
City	KANSAS CITY
State	MO
ZIP	64108
Phone	816 404-0650
CertificateType	4
CertificateEffectiveDate	12/3/2023
CertificateExpirationDate	12/2/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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