26D1051932 CLIA NUMBER - FACIAL SPECTRUM INC

Laboratory Demographics

  • CLIA Code: 26D1051932
  • Facility Name: FACIAL SPECTRUM INC
  • Facility Address: 1208 NE WINDSOR DRIVE
    LEES SUMMIT, MO
    ZIP 64086
  • Facility Phone: 816 524-4334
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEVEN J. PRSTOJEVICH
  • NPI Number: 1699861906
  • Taxonomy: 1223S0112X - Dentist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D1051932
LAB Type Physician Office
Facility Name FACIAL SPECTRUM INC
Street 1208 NE WINDSOR DRIVE
City LEES SUMMIT
State MO
ZIP 64086
Phone 816 524-4334
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2024
Certificate Expiration Date 3/13/2026
Facility Type Physician Office
Lab Director STEVEN J. PRSTOJEVICH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025