26D1014838 CLIA NUMBER - KATY TRAIL COMMUNITY HEALTH

Laboratory Demographics

  • CLIA Code: 26D1014838
  • Facility Name: KATY TRAIL COMMUNITY HEALTH
  • Facility Address: 821 WESTWOOD DRIVE
    SEDALIA, MO
    ZIP 65301
  • Facility Phone: 660 826-4774
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: MARY DIMARSICO
  • NPI Number: 1922057504
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D1014838
LAB Type Federally Qualified Health Center
Facility Name KATY TRAIL COMMUNITY HEALTH
Street 821 WESTWOOD DRIVE
City SEDALIA
State MO
ZIP 65301
Phone 660 826-4774
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/26/2024
Certificate Expiration Date 12/25/2026
Facility Type Federally Qualified Health Center
Lab Director MARY DIMARSICO

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