26D2046857 CLIA NUMBER - HEALTHSTAT ON-SITE CLINIC/INDEPENDENCE SCHOOL DIST

Laboratory Demographics

  • CLIA Code: 26D2046857
  • Facility Name: HEALTHSTAT ON-SITE CLINIC/INDEPENDENCE SCHOOL DIST
  • Facility Address: 1516 WEST MAPLE
    INDEPENDENCE, MO
    ZIP 64050
  • Facility Phone: 816 521-5300
  • Facility Type: Other - CHRONIC DISEASE MGT CLINI
  • Facility Type: Waiver
  • Lab Director: KIMBERLEY CRISS
  • NPI Number: 1194075788
  • Taxonomy: 2083P0500X - Preventive Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D2046857
LAB Type Other - CHRONIC DISEASE MGT CLINI
Facility Name HEALTHSTAT ON-SITE CLINIC/INDEPENDENCE SCHOOL DIST
Street 1516 WEST MAPLE
City INDEPENDENCE
State MO
ZIP 64050
Phone 816 521-5300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2024
Certificate Expiration Date 9/11/2026
Facility Type Other - CHRONIC DISEASE MGT CLINI
Lab Director KIMBERLEY CRISS

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