26D2049359 CLIA NUMBER - CAMERON NEPHROLOGY CLINIC

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Laboratory Demographics

CLIA Number: 26D2049359

Facility Name: CAMERON NEPHROLOGY CLINIC

Facility Address:
1600 EAST EVERGREEN MEDICAL PLAZA III, SUITE A
CAMERON, MO
ZIP 64429
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Facility Phone Number: 816 649-3398

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1235481219

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	26D2049359
LAB Type	Community Clinic
Facility Name	CAMERON NEPHROLOGY CLINIC
Street	1600 EAST EVERGREEN MEDICAL PLAZA III, SUITE A
City	CAMERON
State	MO
ZIP	64429
Phone	816 649-3398
CertificateType	4
CertificateEffectiveDate	11/5/2022
CertificateExpirationDate	11/4/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024