26D2107372 CLIA NUMBER - SMITHVILLE EYE CENTER LLC

Laboratory Demographics

  • CLIA Code: 26D2107372
  • Facility Name: SMITHVILLE EYE CENTER LLC
  • Facility Address: 1000 S US 169 HWY
    SMITHVILLE, MO
    ZIP 64089
  • Facility Phone: 816 873-0202
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RYAN L. HIESTERMAN
  • NPI Number: 1801992573
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 26D2107372
LAB Type Physician Office
Facility Name SMITHVILLE EYE CENTER LLC
Street 1000 S US 169 HWY
City SMITHVILLE
State MO
ZIP 64089
Phone 816 873-0202
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2024
Certificate Expiration Date 1/11/2026
Facility Type Physician Office
Lab Director RYAN L. HIESTERMAN

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