26D2146403 CLIA NUMBER - UZAZI VILLAGE DBA IDA MAE PATTERSON CLINIC

Laboratory Demographics

  • CLIA Code: 26D2146403
  • Facility Name: UZAZI VILLAGE DBA IDA MAE PATTERSON CLINIC
  • Facility Address: 4323 TROOST AVENUE
    KANSAS CITY, MO
    ZIP 64110
  • Facility Phone: 816 541-3718
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: HAKIMA TAFUNZI PAYNE
  • NPI Number: 1184045171
  • Taxonomy: 363LW0102X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 26D2146403
LAB Type Community Clinic
Facility Name UZAZI VILLAGE DBA IDA MAE PATTERSON CLINIC
Street 4323 TROOST AVENUE
City KANSAS CITY
State MO
ZIP 64110
Phone 816 541-3718
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2024
Certificate Expiration Date 3/27/2026
Facility Type Community Clinic
Lab Director HAKIMA TAFUNZI PAYNE

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