26D1040899 CLIA NUMBER - UNIVERSITY HEALTH - GRAIN VALLEY CLINIC

Laboratory Demographics

  • CLIA Code: 26D1040899
  • Facility Name: UNIVERSITY HEALTH - GRAIN VALLEY CLINIC
  • Facility Address: 1439 MINTER WAY
    GRAIN VALLEY, MO
    ZIP 64029
  • Facility Phone: 816 404-0558
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: EVANTHIA OMOSCHARKA
  • NPI Number: 1710400593
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 26D1040899
LAB Type Community Clinic
Facility Name UNIVERSITY HEALTH - GRAIN VALLEY CLINIC
Street 1439 MINTER WAY
City GRAIN VALLEY
State MO
ZIP 64029
Phone 816 404-0558
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2025
Certificate Expiration Date 5/18/2027
Facility Type Community Clinic
Lab Director EVANTHIA OMOSCHARKA

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