26D1077618 CLIA NUMBER - EASTLAND DIALYSIS

Laboratory Demographics

  • CLIA Code: 26D1077618
  • Facility Name: EASTLAND DIALYSIS
  • Facility Address: 19101 E VALLEY VIEW PKWY
    INDEPENDENCE, MO
    ZIP 64055
  • Facility Phone: 816 795-6018
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. JUSTIN TEIWES
  • NPI Number: 1629269733
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D1077618
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name EASTLAND DIALYSIS
Street 19101 E VALLEY VIEW PKWY
City INDEPENDENCE
State MO
ZIP 64055
Phone 816 795-6018
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2023
Certificate Expiration Date 12/13/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. JUSTIN TEIWES

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