26D2296275 CLIA NUMBER - COMPASSUS- GREATER KANSAS CITY

Laboratory Demographics

CLIA Number: 26D2296275

Facility Name: COMPASSUS- GREATER KANSAS CITY

Facility Address:
4025 NE LAKEWOOD WAY SUITE 130
LEES SUMMIT, MO
ZIP 64064
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Facility Phone Number: 816 203-8889

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1710685235

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	26D2296275
LAB Type	Hospice
Facility Name	COMPASSUS- GREATER KANSAS CITY
Street	4025 NE LAKEWOOD WAY SUITE 130
City	LEES SUMMIT
State	MO
ZIP	64064
Phone	816 203-8889
CertificateType	4
CertificateEffectiveDate	12/26/2023
CertificateExpirationDate	12/25/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024