14D2182736 CLIA NUMBER - MORELAND AND DEVITT PHARMACY

Laboratory Demographics

  • CLIA Code: 14D2182736
  • Facility Name: MORELAND AND DEVITT PHARMACY
  • Facility Address: 200 S PITTSFIELD RD - STE B
    MOUNT STERLING, IL
    ZIP 62353
  • Facility Phone: 217 773-2020
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHANE M. MILLER
  • NPI Number: 1497241749
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2182736
LAB Type Pharmacy
Facility Name MORELAND AND DEVITT PHARMACY
Street 200 S PITTSFIELD RD - STE B
City MOUNT STERLING
State IL
ZIP 62353
Phone 217 773-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2024
Certificate Expiration Date 4/23/2026
Facility Type Pharmacy
Lab Director SHANE M. MILLER

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