26D2320703 CLIA NUMBER - PETERSON LABORATORY, LLC

Laboratory Demographics

  • CLIA Code: 26D2320703
  • Facility Name: PETERSON LABORATORY, LLC
  • Facility Address: 941 W 141ST TERRACE #A
    KANSAS CITY, MO
    ZIP 64145
  • Facility Phone: 785 539-5363
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: DIONNEE JAMES
  • NPI Number: 1629003819
  • Taxonomy: 207ZP0102X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 26D2320703
LAB Type Independent
Facility Name PETERSON LABORATORY, LLC
Street 941 W 141ST TERRACE #A
City KANSAS CITY
State MO
ZIP 64145
Phone 785 539-5363
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Independent
Lab Director DIONNEE JAMES

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