26D2317494 CLIA NUMBER - PEDIATRIC URGENT CARE, LLC

Laboratory Demographics

  • CLIA Code: 26D2317494
  • Facility Name: PEDIATRIC URGENT CARE, LLC
  • Facility Address: 1918 N WOODBINE RD (URGENT CARE SIDE)
    SAINT JOSEPH, MO
    ZIP 64506
  • Facility Phone: 816 749-0479
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SIBYL E. DOWNING
  • NPI Number: 1497595854
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D2317494
LAB Type Physician Office
Facility Name PEDIATRIC URGENT CARE, LLC
Street 1918 N WOODBINE RD (URGENT CARE SIDE)
City SAINT JOSEPH
State MO
ZIP 64506
Phone 816 749-0479
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type Physician Office
Lab Director SIBYL E. DOWNING

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