26D2103952 CLIA NUMBER - KC PAIN ASC, LLC DBA MIDWEST PAIN MANAGEMENT CENTER

Laboratory Demographics

  • CLIA Code: 26D2103952
  • Facility Name: KC PAIN ASC, LLC DBA MIDWEST PAIN MANAGEMENT CENTER
  • Facility Address: 200 NE MISSOURI ROAD SUITE 100
    LEES SUMMIT, MO
    ZIP 64086
  • Facility Phone: 816 282-5370
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MARK B. CHAPLIK
  • NPI Number: 1487039517
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D2103952
LAB Type Ambulatory Surgery Center
Facility Name KC PAIN ASC, LLC DBA MIDWEST PAIN MANAGEMENT CENTER
Street 200 NE MISSOURI ROAD SUITE 100
City LEES SUMMIT
State MO
ZIP 64086
Phone 816 282-5370
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2025
Certificate Expiration Date 10/22/2027
Facility Type Ambulatory Surgery Center
Lab Director MARK B. CHAPLIK

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