26D1091647 CLIA NUMBER - SAINT LUKES CARDIOVASCULAR CONSULTANTS- LEE'S SUMMIT

Laboratory Demographics

CLIA Number: 26D1091647

Facility Name: SAINT LUKES CARDIOVASCULAR CONSULTANTS- LEE'S SUMMIT

Facility Address:
20 NE ST LUKES BLVD, STE 240
LEES SUMMIT, MO
ZIP 64086
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Facility Phone Number: 816 751-8800

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1164486809

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	26D1091647
LAB Type	Physician Office
Facility Name	SAINT LUKES CARDIOVASCULAR CONSULTANTS- LEE'S SUMMIT
Street	20 NE ST LUKES BLVD, STE 240
City	LEES SUMMIT
State	MO
ZIP	64086
Phone	816 751-8800
CertificateType	4
CertificateEffectiveDate	11/6/2022
CertificateExpirationDate	11/5/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024