14D2212718 CLIA NUMBER - ROCHELLE PHARMACY STMAR INC

Laboratory Demographics

  • CLIA Code: 14D2212718
  • Facility Name: ROCHELLE PHARMACY STMAR INC
  • Facility Address: 314 LINCOLN HWY
    ROCHELLE, IL
    ZIP 61068
  • Facility Phone: 815 562-4444
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RUPESH B. MANEK
  • NPI Number: 1740389527
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2212718
LAB Type Pharmacy
Facility Name ROCHELLE PHARMACY STMAR INC
Street 314 LINCOLN HWY
City ROCHELLE
State IL
ZIP 61068
Phone 815 562-4444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2025
Certificate Expiration Date 2/4/2027
Facility Type Pharmacy
Lab Director RUPESH B. MANEK

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