CLIA lab
CLIA 26D2104152: Premise Health of Missouri Medical, PC
Raytown, MO. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 26D2104152 belongs to Premise Health of Missouri Medical, PC in Raytown, MO.
Certificate of Waiver, effective October 28, 2025, expires October 27, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- October 28, 2025
- Certificate expiration
- October 27, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 28, 2015
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 26D2104152
- Lab name
- Premise Health of Missouri Medical, PC
- Address
- 10301 E 350 Highway, Raytown, MO 64138
- Phone
- (816) 744-8030
Annual test volume the lab reported
- Waived tests
- 130
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Edgewood Manor Health Care CenterCertificate of Waiver, Skilled nursing or nursing facility26D0444670
- Fmc-Dialysis Services of RaytownCertificate of Waiver, End stage renal disease dialysis facility26D1005578
- Hy-Vee Pharmacy (1542)Certificate of Waiver, Pharmacy26D1101232
- Missouri CVS Pharmacy, LLCCertificate of Waiver, Pharmacy26D2282510
- Missouri CVS Pharmacy, LLC DBA Cvs/Pharmacy #08566Certificate of Waiver, Pharmacy26D2225314
- Mobiledot Physical, LLCCertificate of Waiver, Other practitioner26D2198680
- NDH Medicare Risk Assessment LLCCertificate for Provider-Performed Microscopy Procedures, Other practitioner26D2271938
Related
Questions
What is the CLIA number for Premise Health of Missouri Medical, PC in Raytown?
26D2104152, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Premise Health of Missouri Medical, PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 26D2104152 expire?
The CMS file lists October 27, 2027 as the certificate expiration date; the certificate took effect October 28, 2025.