14D2289014 CLIA NUMBER - CAIN'S DRUG STORE INC

Laboratory Demographics

CLIA Number: 14D2289014

Facility Name: CAIN'S DRUG STORE INC

Facility Address:
1401 N 8TH ST
VANDALIA, IL
ZIP 62471
Get Directions

Facility Phone Number: 618 283-0196

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1568486165

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	14D2289014
LAB Type	Pharmacy
Facility Name	CAIN'S DRUG STORE INC
Street	1401 N 8TH ST
City	VANDALIA
State	IL
ZIP	62471
Phone	618 283-0196
CertificateType	4
CertificateEffectiveDate	9/5/2023
CertificateExpirationDate	9/4/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024