26D2200687 CLIA NUMBER - KANSAS CITY ATHLETICS

Laboratory Demographics

  • CLIA Code: 26D2200687
  • Facility Name: KANSAS CITY ATHLETICS
  • Facility Address: 5030 HOLMES ST
    KANSAS CITY, MO
    ZIP 64110
  • Facility Phone: 816 235-1362
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: CHARLES C. EMERSON
  • NPI Number: 1316016744
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 26D2200687
LAB Type School/Student Health Service
Facility Name KANSAS CITY ATHLETICS
Street 5030 HOLMES ST
City KANSAS CITY
State MO
ZIP 64110
Phone 816 235-1362
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2024
Certificate Expiration Date 11/16/2026
Facility Type School/Student Health Service
Lab Director CHARLES C. EMERSON

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