14D2208486 CLIA NUMBER - PHARMACY PLUS, INC

Laboratory Demographics

  • CLIA Code: 14D2208486
  • Facility Name: PHARMACY PLUS, INC
  • Facility Address: 213 W CLAY
    ROODHOUSE, IL
    ZIP 62082
  • Facility Phone: 217 589-4313
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMANDA K. CRANE
  • NPI Number: 1023198785
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2208486
LAB Type Pharmacy
Facility Name PHARMACY PLUS, INC
Street 213 W CLAY
City ROODHOUSE
State IL
ZIP 62082
Phone 217 589-4313
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2025
Certificate Expiration Date 1/5/2027
Facility Type Pharmacy
Lab Director AMANDA K. CRANE

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