26D1101974 CLIA NUMBER - HOPE FAMILY CARE CENTER

Laboratory Demographics

  • CLIA Code: 26D1101974
  • Facility Name: HOPE FAMILY CARE CENTER
  • Facility Address: 3027 PROSPECT AVE
    KANSAS CITY, MO
    ZIP 64128
  • Facility Phone: 816 509-0685
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: TOM E. KETTLER
  • NPI Number: 1285878793
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D1101974
LAB Type Community Clinic
Facility Name HOPE FAMILY CARE CENTER
Street 3027 PROSPECT AVE
City KANSAS CITY
State MO
ZIP 64128
Phone 816 509-0685
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 7/8/2023
Certificate Expiration Date 7/7/2025
Facility Type Community Clinic
Lab Director TOM E. KETTLER

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