14D2250899 CLIA NUMBER - VICTORS MEDICENTER PHARMACY

Laboratory Demographics

  • CLIA Code: 14D2250899
  • Facility Name: VICTORS MEDICENTER PHARMACY
  • Facility Address: 2323 OLD PLANK RD
    CHESTER, IL
    ZIP 62233
  • Facility Phone: 618 826-2511
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOHN K. HU NTER
  • NPI Number: 1053323428
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2250899
LAB Type Pharmacy
Facility Name VICTORS MEDICENTER PHARMACY
Street 2323 OLD PLANK RD
City CHESTER
State IL
ZIP 62233
Phone 618 826-2511
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. HU NTER

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