26D2271938 CLIA NUMBER - NDH MEDICARE RISK ASSESSMENT LLC DBA - EASTSIDE HEALTH & WELLNESS

Laboratory Demographics

  • CLIA Code: 26D2271938
  • Facility Name: NDH MEDICARE RISK ASSESSMENT LLC DBA - EASTSIDE HEALTH & WELLNESS
  • Facility Address: 8801 E 63RD ST, STE 102
    RAYTOWN, MO
    ZIP 64133
  • Facility Phone: 816 255-0837
  • Facility Type: Practitioner Other
  • Facility Type: Microscopy
  • Lab Director: NICOLE HAMILTON
  • NPI Number: 1316662901
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 26D2271938
LAB Type Practitioner Other
Facility Name NDH MEDICARE RISK ASSESSMENT LLC DBA - EASTSIDE HEALTH & WELLNESS
Street 8801 E 63RD ST, STE 102
City RAYTOWN
State MO
ZIP 64133
Phone 816 255-0837
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/11/2025
Certificate Expiration Date 5/10/2027
Facility Type Practitioner Other
Lab Director NICOLE HAMILTON

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