26D2290077 CLIA NUMBER - SWOPE HEALTH-EXCELSIOR SPRINGS PEDIATRIC CLINIC

Laboratory Demographics

  • CLIA Code: 26D2290077
  • Facility Name: SWOPE HEALTH-EXCELSIOR SPRINGS PEDIATRIC CLINIC
  • Facility Address: 500 N JESSE JAMES ROAD
    EXCELSIOR SPRINGS, MO
    ZIP 64024
  • Facility Phone: 816 923-5800
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: KENNETH THOMAS
  • NPI Number: 1013002765
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D2290077
LAB Type Federally Qualified Health Center
Facility Name SWOPE HEALTH-EXCELSIOR SPRINGS PEDIATRIC CLINIC
Street 500 N JESSE JAMES ROAD
City EXCELSIOR SPRINGS
State MO
ZIP 64024
Phone 816 923-5800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2025
Certificate Expiration Date 9/19/2027
Facility Type Federally Qualified Health Center
Lab Director KENNETH THOMAS

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