26D1052076 CLIA NUMBER - NORTHLAND EYE SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 26D1052076
  • Facility Name: NORTHLAND EYE SURGERY CENTER LLC
  • Facility Address: 100 CLAYVIEW DR, STE A
    LIBERTY, MO
    ZIP 64068
  • Facility Phone: 816 792-8282
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SUSAN CARNEY
  • NPI Number: 1255879599
  • Taxonomy: 261QP2000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D1052076
LAB Type Ambulatory Surgery Center
Facility Name NORTHLAND EYE SURGERY CENTER LLC
Street 100 CLAYVIEW DR, STE A
City LIBERTY
State MO
ZIP 64068
Phone 816 792-8282
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2024
Certificate Expiration Date 3/15/2026
Facility Type Ambulatory Surgery Center
Lab Director SUSAN CARNEY

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