26D2136199 CLIA NUMBER - CENTERWELL SENIOR PRIMARY CARE-MIDTOWN

Laboratory Demographics

  • CLIA Code: 26D2136199
  • Facility Name: CENTERWELL SENIOR PRIMARY CARE-MIDTOWN
  • Facility Address: 301 E ARMOUR BLVD SUITE 2EAST
    KANSAS CITY, MO
    ZIP 64111
  • Facility Phone: 816 394-2082
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHANIE IKEME
  • NPI Number: 1639692098
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D2136199
LAB Type Physician Office
Facility Name CENTERWELL SENIOR PRIMARY CARE-MIDTOWN
Street 301 E ARMOUR BLVD SUITE 2EAST
City KANSAS CITY
State MO
ZIP 64111
Phone 816 394-2082
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/5/2025
Certificate Expiration Date 9/4/2027
Facility Type Physician Office
Lab Director STEPHANIE IKEME

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