26D1024300 CLIA NUMBER - ST LUKE'S HOSPITAL MEDICAL EDUCATION INTERNAL MEDICINE CLINIC

Laboratory Demographics

  • CLIA Code: 26D1024300
  • Facility Name: ST LUKE'S HOSPITAL MEDICAL EDUCATION INTERNAL MEDICINE CLINIC
  • Facility Address: 4330 WORNALL ROAD, MEDICAL PLAZA II, SUITE 65
    KANSAS CITY, MO
    ZIP 64111
  • Facility Phone: 816 932-6100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMIE M. LAWLESS
  • NPI Number: 1124071725
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 26D1024300
LAB Type Physician Office
Facility Name ST LUKE'S HOSPITAL MEDICAL EDUCATION INTERNAL MEDICINE CLINIC
Street 4330 WORNALL ROAD, MEDICAL PLAZA II, SUITE 65
City KANSAS CITY
State MO
ZIP 64111
Phone 816 932-6100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2025
Certificate Expiration Date 2/28/2027
Facility Type Physician Office
Lab Director JAMIE M. LAWLESS

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