26D2161917 CLIA NUMBER - BMA INDEPENDENCE

Laboratory Demographics

  • CLIA Code: 26D2161917
  • Facility Name: BMA INDEPENDENCE
  • Facility Address: 1135 S CLAREMONT AVE
    INDEPENDENCE, MO
    ZIP 64054
  • Facility Phone: 816 836-1220
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: TEWABE KEBEDE
  • NPI Number: 1023120821
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D2161917
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BMA INDEPENDENCE
Street 1135 S CLAREMONT AVE
City INDEPENDENCE
State MO
ZIP 64054
Phone 816 836-1220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/13/2025
Certificate Expiration Date 2/12/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director TEWABE KEBEDE

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This page was last updated on: 3/20/2025