Healther Providers Data Logo

26D1004168 CLIA NUMBER - PEDIATRIC PROFESSIONALS

Laboratory Demographics

CLIA Number: 26D1004168

Facility Name: PEDIATRIC PROFESSIONALS

Facility Address:
310 NE TUDOR ROAD
LEES SUMMIT, MO
ZIP 64086
Get Directions

Facility Phone Number: 816 347-0303

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1710930490

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name Field Value
CLIA Number 26D1004168
LAB Type Physician Office
Facility Name PEDIATRIC PROFESSIONALS
Street 310 NE TUDOR ROAD
City LEES SUMMIT
State MO
ZIP 64086
Phone 816 347-0303
CertificateType 4
CertificateEffectiveDate 9/20/2022
CertificateExpirationDate 9/19/2024
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

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

Download this CLIA NUMBER record in XML format: Export

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