26D2133365 CLIA NUMBER - QUADMED KOHLS BLUE SPRINGS

Laboratory Demographics

  • CLIA Code: 26D2133365
  • Facility Name: QUADMED KOHLS BLUE SPRINGS
  • Facility Address: 2015 NE JEFFESON STREET
    GRAIN VALLEY, MO
    ZIP 64029
  • Facility Phone: 816 847-7400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: COURTNEY YOUNG
  • NPI Number: 1003324542
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D2133365
LAB Type Physician Office
Facility Name QUADMED KOHLS BLUE SPRINGS
Street 2015 NE JEFFESON STREET
City GRAIN VALLEY
State MO
ZIP 64029
Phone 816 847-7400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2025
Certificate Expiration Date 7/10/2027
Facility Type Physician Office
Lab Director COURTNEY YOUNG

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