26D2003453 CLIA NUMBER - HERB HALL DO

Laboratory Demographics

  • CLIA Code: 26D2003453
  • Facility Name: HERB HALL DO
  • Facility Address: 258 NE TUDOR
    LEES SUMMIT, MO
    ZIP 64086
  • Facility Phone: 816 525-8089
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HERBERT HALL
  • NPI Number: 1013103498
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D2003453
LAB Type Physician Office
Facility Name HERB HALL DO
Street 258 NE TUDOR
City LEES SUMMIT
State MO
ZIP 64086
Phone 816 525-8089
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2024
Certificate Expiration Date 2/9/2026
Facility Type Physician Office
Lab Director HERBERT HALL

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