26D2317511 CLIA NUMBER - GERIATRIC PRIMARY CARE, PA

Laboratory Demographics

  • CLIA Code: 26D2317511
  • Facility Name: GERIATRIC PRIMARY CARE, PA
  • Facility Address: 1500 W FOXWOOD DR, SUITE B
    RAYMORE, MO
    ZIP 64083
  • Facility Phone: 913 302-7183
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK BATTIST
  • NPI Number: 1073082350
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D2317511
LAB Type Physician Office
Facility Name GERIATRIC PRIMARY CARE, PA
Street 1500 W FOXWOOD DR, SUITE B
City RAYMORE
State MO
ZIP 64083
Phone 913 302-7183
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 MARK BATTIST

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