26D2048236 CLIA NUMBER - HOSPICE BY JOHN KNOX VILLAGE

Laboratory Demographics

  • CLIA Code: 26D2048236
  • Facility Name: HOSPICE BY JOHN KNOX VILLAGE
  • Facility Address: 600 NW PRYOR ROAD, UNIT 300
    LEES SUMMIT, MO
    ZIP 64081
  • Facility Phone: 816 525-0986
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: MICHAEL STOKER
  • NPI Number: 1346337516
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 26D2048236
LAB Type Hospice
Facility Name HOSPICE BY JOHN KNOX VILLAGE
Street 600 NW PRYOR ROAD, UNIT 300
City LEES SUMMIT
State MO
ZIP 64081
Phone 816 525-0986
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2024
Certificate Expiration Date 10/10/2026
Facility Type Hospice
Lab Director MICHAEL STOKER

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