26D2110694 CLIA NUMBER - UNIVERSITY HEALTH ON THE GO HYVEE #1

Laboratory Demographics

  • CLIA Code: 26D2110694
  • Facility Name: UNIVERSITY HEALTH ON THE GO HYVEE #1
  • Facility Address: 1525 EAST 23RD STREET
    INDEPENDENCE, MO
    ZIP 64055
  • Facility Phone: 816 404-8870
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: EVANTHIA OMOSCHARKA
  • NPI Number: 1548618358
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 26D2110694
LAB Type Community Clinic
Facility Name UNIVERSITY HEALTH ON THE GO HYVEE #1
Street 1525 EAST 23RD STREET
City INDEPENDENCE
State MO
ZIP 64055
Phone 816 404-8870
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2024
Certificate Expiration Date 3/21/2026
Facility Type Community Clinic
Lab Director EVANTHIA OMOSCHARKA

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