14D1003812 CLIA NUMBER - PEARMAN PHARMACY INC

Laboratory Demographics

  • CLIA Code: 14D1003812
  • Facility Name: PEARMAN PHARMACY INC
  • Facility Address: 116 WEST COURT STREET
    PARIS, IL
    ZIP 61944
  • Facility Phone: 217 465-8455
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DUSTIN MELTON
  • NPI Number: 1013081140
  • Taxonomy: 335E00000X - Prosthetic/Orthotic Supplier

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CLIA Record

Field Name Field Value
CLIA Number 14D1003812
LAB Type Pharmacy
Facility Name PEARMAN PHARMACY INC
Street 116 WEST COURT STREET
City PARIS
State IL
ZIP 61944
Phone 217 465-8455
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2024
Certificate Expiration Date 9/10/2026
Facility Type Pharmacy
Lab Director DUSTIN MELTON

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