26D2309921 CLIA NUMBER - LEE'S SUMMIT FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 26D2309921
  • Facility Name: LEE'S SUMMIT FAMILY MEDICINE
  • Facility Address: 2000 SE BLUE PARKWAY, SUITE 270B-1
    LEES SUMMIT, MO
    ZIP 64063
  • Facility Phone: 816 524-8488
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MELISSA L. SMITH
  • NPI Number: 1659577666
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 26D2309921
LAB Type Physician Office
Facility Name LEE'S SUMMIT FAMILY MEDICINE
Street 2000 SE BLUE PARKWAY, SUITE 270B-1
City LEES SUMMIT
State MO
ZIP 64063
Phone 816 524-8488
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2024
Certificate Expiration Date 8/21/2026
Facility Type Physician Office
Lab Director MELISSA L. SMITH

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