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