26D2063887 CLIA NUMBER - MARATHON-CHILDREN'S MERCY EMPLOYEE WELLNESS CENTER

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Laboratory Demographics

CLIA Number: 26D2063887

Facility Name: MARATHON-CHILDREN'S MERCY EMPLOYEE WELLNESS CENTER

Facility Address:
2401 GRAND STREET
KANSAS CITY, MO
ZIP 64108
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Facility Phone Number: 866 434-3255

Facility Type: Other - EMPLOYEE HEALTH CLINIC

Certificate Type: Waiver

NPI Number: 1336586874

Taxonomy: 183500000X - Pharmacist
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

CLIA Record

Field Name	Field Value
CLIA Number	26D2063887
LAB Type	Other - EMPLOYEE HEALTH CLINIC
Facility Name	MARATHON-CHILDREN'S MERCY EMPLOYEE WELLNESS CENTER
Street	2401 GRAND STREET
City	KANSAS CITY
State	MO
ZIP	64108
Phone	866 434-3255
CertificateType	4
CertificateEffectiveDate	8/11/2023
CertificateExpirationDate	8/10/2025
FacilityType	Waiver

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