14D2250893 CLIA NUMBER - TONY'S MEDICENTER PHARMACY

Laboratory Demographics

  • CLIA Code: 14D2250893
  • Facility Name: TONY'S MEDICENTER PHARMACY
  • Facility Address: 324 W BROADWAY
    STEELEVILLE, IL
    ZIP 62288
  • Facility Phone: 618 965-3511
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOHN K. HUNTER
  • NPI Number: 1922112994
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2250893
LAB Type Pharmacy
Facility Name TONY'S MEDICENTER PHARMACY
Street 324 W BROADWAY
City STEELEVILLE
State IL
ZIP 62288
Phone 618 965-3511
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2024
Certificate Expiration Date 1/30/2026
Facility Type Pharmacy
Lab Director JOHN K. HUNTER

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