26D2264009 CLIA NUMBER - CENTERWELL SENIOR PRIMARY CARE (MO), PC-SEVEN OAKS

Laboratory Demographics

  • CLIA Code: 26D2264009
  • Facility Name: CENTERWELL SENIOR PRIMARY CARE (MO), PC-SEVEN OAKS
  • Facility Address: 4400 E 39TH ST
    KANSAS CITY, MO
    ZIP 64128
  • Facility Phone: 305 842-3910
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHANIE A. IKEME
  • NPI Number: 1063153914
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D2264009
LAB Type Physician Office
Facility Name CENTERWELL SENIOR PRIMARY CARE (MO), PC-SEVEN OAKS
Street 4400 E 39TH ST
City KANSAS CITY
State MO
ZIP 64128
Phone 305 842-3910
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2024
Certificate Expiration Date 7/7/2026
Facility Type Physician Office
Lab Director STEPHANIE A. IKEME

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