26D2229588 CLIA NUMBER - CHILDREN'S MERCY - JC PEDS, INC

Laboratory Demographics

  • CLIA Code: 26D2229588
  • Facility Name: CHILDREN'S MERCY - JC PEDS, INC
  • Facility Address: 1705 CHRISTY DR SUITE 210
    JEFFERSON CITY, MO
    ZIP 65101
  • Facility Phone: 573 606-7337
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LORA B. FOLZ
  • NPI Number: 1710568233
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 26D2229588
LAB Type Physician Office
Facility Name CHILDREN'S MERCY - JC PEDS, INC
Street 1705 CHRISTY DR SUITE 210
City JEFFERSON CITY
State MO
ZIP 65101
Phone 573 606-7337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2025
Certificate Expiration Date 7/13/2027
Facility Type Physician Office
Lab Director LORA B. FOLZ

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