14D0434026 CLIA NUMBER - ST ELIZABETH'S HOSPITAL- O'FALLON

Laboratory Demographics

CLIA Number: 14D0434026

Facility Name: ST ELIZABETH'S HOSPITAL- O'FALLON

Facility Address:
THREE ST ELIZABETH'S BLVD
O FALLON, IL
ZIP 62269
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Facility Phone Number: 618 234-2120

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1366507485

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	14D0434026
LAB Type	Hospital
Facility Name	ST ELIZABETH'S HOSPITAL- O'FALLON
Street	THREE ST ELIZABETH'S BLVD
City	O FALLON
State	IL
ZIP	62269
Phone	618 234-2120
CertificateType	1
CertificateEffectiveDate	2/9/2023
CertificateExpirationDate	2/8/2025
FacilityType	Accreditation

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This page was last updated on: 4/23/2024