14D2072918 CLIA NUMBER - HUDSON DRUG SHOP

Laboratory Demographics

  • CLIA Code: 14D2072918
  • Facility Name: HUDSON DRUG SHOP
  • Facility Address: 108 N MARKET
    PAXTON, IL
    ZIP 60957
  • Facility Phone: 217 379-4858
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANDREW R. HUDSON
  • NPI Number: 1639223084
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2072918
LAB Type Pharmacy
Facility Name HUDSON DRUG SHOP
Street 108 N MARKET
City PAXTON
State IL
ZIP 60957
Phone 217 379-4858
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2024
Certificate Expiration Date 2/6/2026
Facility Type Pharmacy
Lab Director ANDREW R. HUDSON

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