26D1056261 CLIA NUMBER - LEES SUMMIT RENAL CENTER

Laboratory Demographics

  • CLIA Code: 26D1056261
  • Facility Name: LEES SUMMIT RENAL CENTER
  • Facility Address: 100 NE MISSOURI RD, STE 100
    LEES SUMMIT, MO
    ZIP 64086
  • Facility Phone: 816 524-3312
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JOHANNA MCCULLAGH
  • NPI Number: 1518167717
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D1056261
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LEES SUMMIT RENAL CENTER
Street 100 NE MISSOURI RD, STE 100
City LEES SUMMIT
State MO
ZIP 64086
Phone 816 524-3312
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2024
Certificate Expiration Date 7/10/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JOHANNA MCCULLAGH

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