26D1004168 CLIA NUMBER - PEDIATRIC PROFESSIONALS

Laboratory Demographics

  • CLIA Code: 26D1004168
  • Facility Name: PEDIATRIC PROFESSIONALS
  • Facility Address: 310 NE TUDOR ROAD
    LEES SUMMIT, MO
    ZIP 64086
  • Facility Phone: 816 347-0303
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TERESA M. BRADY
  • NPI Number: 1710930490
  • Taxonomy: 208000000X - Pediatrics

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2024
Certificate Expiration Date 9/19/2026
Facility Type Physician Office
Lab Director TERESA M. BRADY

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