26D1056262 CLIA NUMBER - MIDWEST NEPHROLOGY CONSULTANTS PA

Laboratory Demographics

CLIA Code: 26D1056262
Facility Name: MIDWEST NEPHROLOGY CONSULTANTS PA
Facility Address: 19403 EAST 37TH TERRACE COURT SOUTH
INDEPENDENCE, MO
ZIP 64057
Facility Phone: 816 276-1700
Facility Type: Physician Office
Facility Type: Microscopy
Lab Director: ABID KHAN
NPI Number: 1942299268
Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name	Field Value
CLIA Number	26D1056262
LAB Type	Physician Office
Facility Name	MIDWEST NEPHROLOGY CONSULTANTS PA
Street	19403 EAST 37TH TERRACE COURT SOUTH
City	INDEPENDENCE
State	MO
ZIP	64057
Phone	816 276-1700
Certificate Type	Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description	This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date	7/11/2024
Certificate Expiration Date	7/10/2026
Facility Type	Physician Office
Lab Director	ABID KHAN

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