26D2202346 CLIA NUMBER - INITY CCPRX HOME CARE LLC

Laboratory Demographics

  • CLIA Code: 26D2202346
  • Facility Name: INITY CCPRX HOME CARE LLC
  • Facility Address: 8930 EVANSTON AVE
    KANSAS CITY, MO
    ZIP 64138
  • Facility Phone: 573 751-6158
  • Facility Type: Health Main. Organization
  • Facility Type: Waiver
  • Lab Director: FRANCES NIA E. BECKER
  • NPI Number: 1285119545
  • Taxonomy: 207QG0300X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D2202346
LAB Type Health Main. Organization
Facility Name INITY CCPRX HOME CARE LLC
Street 8930 EVANSTON AVE
City KANSAS CITY
State MO
ZIP 64138
Phone 573 751-6158
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/25/2024
Certificate Expiration Date 11/24/2026
Facility Type Health Main. Organization
Lab Director FRANCES NIA E. BECKER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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