26D2147629 CLIA NUMBER - CORNERSTONE DERMATOLOGY & SURGERY GROUP, PC

Laboratory Demographics

  • CLIA Code: 26D2147629
  • Facility Name: CORNERSTONE DERMATOLOGY & SURGERY GROUP, PC
  • Facility Address: 601 NW O'BRIEN ROAD
    LEES SUMMIT, MO
    ZIP 64063
  • Facility Phone: 816 287-1528
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DAVID R. FIELEKE
  • NPI Number: 1114427739
  • Taxonomy: 207NS0135X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 26D2147629
LAB Type Physician Office
Facility Name CORNERSTONE DERMATOLOGY & SURGERY GROUP, PC
Street 601 NW O'BRIEN ROAD
City LEES SUMMIT
State MO
ZIP 64063
Phone 816 287-1528
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/10/2024
Certificate Expiration Date 10/9/2026
Facility Type Physician Office
Lab Director DAVID R. FIELEKE

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