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26D1034732 CLIA NUMBER - HEARTLAND PEDIATRIC & ADULT CARE

Laboratory Demographics

CLIA Number: 26D1034732

Facility Name: HEARTLAND PEDIATRIC & ADULT CARE

Facility Address:
105 FAR WEST DRIVE, SUITE 100
SAINT JOSEPH, MO
ZIP 64506
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Facility Phone Number: 816 271-8110

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1417905142

Taxonomy: 282N00000X - General Acute Care Hospital
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

CLIA Record

Field Name Field Value
CLIA Number 26D1034732
LAB Type Physician Office
Facility Name HEARTLAND PEDIATRIC & ADULT CARE
Street 105 FAR WEST DRIVE, SUITE 100
City SAINT JOSEPH
State MO
ZIP 64506
Phone 816 271-8110
CertificateType 4
CertificateEffectiveDate 4/26/2024
CertificateExpirationDate 4/25/2026
FacilityType Waiver

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