14D2277478 CLIA NUMBER - NAUVOO PHARMACY PLLC

Laboratory Demographics

  • CLIA Code: 14D2277478
  • Facility Name: NAUVOO PHARMACY PLLC
  • Facility Address: 1350 MULHOLLAND ST
    NAUVOO, IL
    ZIP 62354
  • Facility Phone: 217 453-2717
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAUREN CARLISLE
  • NPI Number: 1740914654
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2277478
LAB Type Pharmacy
Facility Name NAUVOO PHARMACY PLLC
Street 1350 MULHOLLAND ST
City NAUVOO
State IL
ZIP 62354
Phone 217 453-2717
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Pharmacy
Lab Director LAUREN CARLISLE

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