14D2207957 CLIA NUMBER - PHARMACY PLUS INC

Laboratory Demographics

  • CLIA Code: 14D2207957
  • Facility Name: PHARMACY PLUS INC
  • Facility Address: 116 NORTH MAIN
    WHITE HALL, IL
    ZIP 62092
  • Facility Phone: 217 374-2222
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JASON G. CAMPBELL
  • NPI Number: 1295078137
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2207957
LAB Type Pharmacy
Facility Name PHARMACY PLUS INC
Street 116 NORTH MAIN
City WHITE HALL
State IL
ZIP 62092
Phone 217 374-2222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Pharmacy
Lab Director JASON G. CAMPBELL

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