26D2287338 CLIA NUMBER - PACE KC ADULT WELLNESS CENTER

Laboratory Demographics

CLIA Code: 26D2287338
Facility Name: PACE KC ADULT WELLNESS CENTER
Facility Address: 4141 DR MARTIN LUTHER KING JR BLVD
KANSAS CITY, MO
ZIP 64130
Facility Phone: 816 321-3300
Facility Type: Public Health Laboratories
Facility Type: Waiver
Lab Director: NAIOMI JAMAL
NPI Number: 1285228312
Taxonomy: 251T00000X - Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

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CLIA Record

Field Name	Field Value
CLIA Number	26D2287338
LAB Type	Public Health Laboratories
Facility Name	PACE KC ADULT WELLNESS CENTER
Street	4141 DR MARTIN LUTHER KING JR BLVD
City	KANSAS CITY
State	MO
ZIP	64130
Phone	816 321-3300
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	8/14/2023
Certificate Expiration Date	8/13/2025
Facility Type	Public Health Laboratories
Lab Director	NAIOMI JAMAL

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This page was last updated on: 6/4/2025