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26D2054399 CLIA NUMBER - CHILDREN'S MERCY KANSAS CITY HEARTLAND SPECIALTY CLINIC

Laboratory Demographics

CLIA Number: 26D2054399

Facility Name: CHILDREN'S MERCY KANSAS CITY HEARTLAND SPECIALTY CLINIC

Facility Address:
802 N RIVERSIDE ROAD, PLAZA 1
SAINT JOSEPH, MO
ZIP 64507
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Facility Phone Number: 816 236-6900

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1356090880

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name Field Value
CLIA Number 26D2054399
LAB Type Physician Office
Facility Name CHILDREN'S MERCY KANSAS CITY HEARTLAND SPECIALTY CLINIC
Street 802 N RIVERSIDE ROAD, PLAZA 1
City SAINT JOSEPH
State MO
ZIP 64507
Phone 816 236-6900
CertificateType 4
CertificateEffectiveDate 2/20/2023
CertificateExpirationDate 2/19/2025
FacilityType Waiver

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