14D0045076 CLIA NUMBER - HERRIN DRUG INC

Laboratory Demographics

  • CLIA Code: 14D0045076
  • Facility Name: HERRIN DRUG INC
  • Facility Address: 116 N PARK
    HERRIN, IL
    ZIP 62948
  • Facility Phone: 618 942-5315
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID A. MATTINGLY
  • NPI Number: 1235771122
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D0045076
LAB Type Pharmacy
Facility Name HERRIN DRUG INC
Street 116 N PARK
City HERRIN
State IL
ZIP 62948
Phone 618 942-5315
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Pharmacy
Lab Director DAVID A. MATTINGLY

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