26D2078479 CLIA NUMBER - ST JOSEPH FAMILY MEDICAL CARE

Laboratory Demographics

  • CLIA Code: 26D2078479
  • Facility Name: ST JOSEPH FAMILY MEDICAL CARE
  • Facility Address: 1004 CARONDELET DRIVE, SUITE 440
    KANSAS CITY, MO
    ZIP 64114
  • Facility Phone: 816 943-7777
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NORA GOMEZ
  • NPI Number: 1659384188
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 26D2078479
LAB Type Physician Office
Facility Name ST JOSEPH FAMILY MEDICAL CARE
Street 1004 CARONDELET DRIVE, SUITE 440
City KANSAS CITY
State MO
ZIP 64114
Phone 816 943-7777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/29/2024
Certificate Expiration Date 5/28/2026
Facility Type Physician Office
Lab Director NORA GOMEZ

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