26D2173947 CLIA NUMBER - BEACON SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 26D2173947
  • Facility Name: BEACON SURGERY CENTER
  • Facility Address: 2861 NE INDEPENDENCE AVE, SUITE 101
    LEES SUMMIT, MO
    ZIP 64064
  • Facility Phone: 832 271-1207
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: KEVIN R. SKELSEY
  • NPI Number: 1255991238
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D2173947
LAB Type Ambulatory Surgery Center
Facility Name BEACON SURGERY CENTER
Street 2861 NE INDEPENDENCE AVE, SUITE 101
City LEES SUMMIT
State MO
ZIP 64064
Phone 832 271-1207
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2025
Certificate Expiration Date 10/21/2027
Facility Type Ambulatory Surgery Center
Lab Director KEVIN R. SKELSEY

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