14D2211284 CLIA NUMBER - BOND COUNTY PHARMACY LLC

Laboratory Demographics

  • CLIA Code: 14D2211284
  • Facility Name: BOND COUNTY PHARMACY LLC
  • Facility Address: 224 A E HARRIS AVE
    GREENVILLE, IL
    ZIP 62246
  • Facility Phone: 618 690-5000
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MAGGIE R. KRUMWIEDE
  • NPI Number: 1447846902
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2211284
LAB Type Pharmacy
Facility Name BOND COUNTY PHARMACY LLC
Street 224 A E HARRIS AVE
City GREENVILLE
State IL
ZIP 62246
Phone 618 690-5000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type Pharmacy
Lab Director MAGGIE R. KRUMWIEDE

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