26D1039429 CLIA NUMBER - ST MARY'S SURGICAL CENTER

Laboratory Demographics

  • CLIA Code: 26D1039429
  • Facility Name: ST MARY'S SURGICAL CENTER
  • Facility Address: 203 NW R D MIZE ROAD, SUITE 218
    BLUE SPRINGS, MO
    ZIP 64014
  • Facility Phone: 816 874-4190
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: TODD M. FREUND
  • NPI Number: 1497736805
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D1039429
LAB Type Ambulatory Surgery Center
Facility Name ST MARY'S SURGICAL CENTER
Street 203 NW R D MIZE ROAD, SUITE 218
City BLUE SPRINGS
State MO
ZIP 64014
Phone 816 874-4190
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2025
Certificate Expiration Date 4/12/2027
Facility Type Ambulatory Surgery Center
Lab Director TODD M. FREUND

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This page was last updated on: 3/20/2025