26D2077301 CLIA NUMBER - PLATTE COUNTY PEDIATRICS

Laboratory Demographics

  • CLIA Code: 26D2077301
  • Facility Name: PLATTE COUNTY PEDIATRICS
  • Facility Address: 1104 PLATTE FALLS ROAD
    PLATTE CITY, MO
    ZIP 64079
  • Facility Phone: 816 858-5253
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KIM DAVIDSON
  • NPI Number: 1295284933
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 26D2077301
LAB Type Physician Office
Facility Name PLATTE COUNTY PEDIATRICS
Street 1104 PLATTE FALLS ROAD
City PLATTE CITY
State MO
ZIP 64079
Phone 816 858-5253
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2024
Certificate Expiration Date 5/4/2026
Facility Type Physician Office
Lab Director KIM DAVIDSON

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