26D1080178 CLIA NUMBER - MINUTECLINIC DIAGNOSTIC OF KANSAS, PA (CLINC #4088)

Laboratory Demographics

  • CLIA Code: 26D1080178
  • Facility Name: MINUTECLINIC DIAGNOSTIC OF KANSAS, PA (CLINC #4088)
  • Facility Address: 3351 SW 3RD ST
    LEES SUMMIT, MO
    ZIP 64081
  • Facility Phone: 866 389-2727
  • Facility Type: Other - LIMITED SERVICE HEALTHCAR
  • Facility Type: Waiver
  • Lab Director: KELLY MARTIN
  • NPI Number: 1063644466
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 26D1080178
LAB Type Other - LIMITED SERVICE HEALTHCAR
Facility Name MINUTECLINIC DIAGNOSTIC OF KANSAS, PA (CLINC #4088)
Street 3351 SW 3RD ST
City LEES SUMMIT
State MO
ZIP 64081
Phone 866 389-2727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/15/2024
Certificate Expiration Date 2/14/2026
Facility Type Other - LIMITED SERVICE HEALTHCAR
Lab Director KELLY MARTIN

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