26D2183836 CLIA NUMBER - CHILDREN'S MERCY - PEACOCK PEDIATRICS, INC

Laboratory Demographics

  • CLIA Code: 26D2183836
  • Facility Name: CHILDREN'S MERCY - PEACOCK PEDIATRICS, INC
  • Facility Address: 805 N 36TH ST SUITE B
    SAINT JOSEPH, MO
    ZIP 64506
  • Facility Phone: 816 396-6026
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMANDA D. WILLIAMS
  • NPI Number: 1598399784
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 26D2183836
LAB Type Physician Office
Facility Name CHILDREN'S MERCY - PEACOCK PEDIATRICS, INC
Street 805 N 36TH ST SUITE B
City SAINT JOSEPH
State MO
ZIP 64506
Phone 816 396-6026
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2024
Certificate Expiration Date 5/10/2026
Facility Type Physician Office
Lab Director AMANDA D. WILLIAMS

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