26D2317785 CLIA NUMBER - GEN 3 IV HYDRATION AND WELLNESS

Laboratory Demographics

  • CLIA Code: 26D2317785
  • Facility Name: GEN 3 IV HYDRATION AND WELLNESS
  • Facility Address: 418 NW LEGACY DR
    KANSAS CITY, MO
    ZIP 64155
  • Facility Phone: 816 599-0053
  • Facility Type: Other - DIRECT PRIMARY CARE
  • Facility Type: Waiver
  • Lab Director: RACHEL HUSTON
  • NPI Number: 1598572059
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D2317785
LAB Type Other - DIRECT PRIMARY CARE
Facility Name GEN 3 IV HYDRATION AND WELLNESS
Street 418 NW LEGACY DR
City KANSAS CITY
State MO
ZIP 64155
Phone 816 599-0053
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2025
Certificate Expiration Date 1/30/2027
Facility Type Other - DIRECT PRIMARY CARE
Lab Director RACHEL HUSTON

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