26D1039723 CLIA NUMBER - LEES SUMMIT PEDIATRICS

Laboratory Demographics

  • CLIA Code: 26D1039723
  • Facility Name: LEES SUMMIT PEDIATRICS
  • Facility Address: 2 NE SYCAMORE STREET
    LEES SUMMIT, MO
    ZIP 64086
  • Facility Phone: 816 525-2112
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THERESA M. FARIBORZ
  • NPI Number: 1750846929
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 26D1039723
LAB Type Physician Office
Facility Name LEES SUMMIT PEDIATRICS
Street 2 NE SYCAMORE STREET
City LEES SUMMIT
State MO
ZIP 64086
Phone 816 525-2112
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2025
Certificate Expiration Date 4/19/2027
Facility Type Physician Office
Lab Director THERESA M. FARIBORZ

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