14D2327799 CLIA NUMBER - DAUBER PHARMACY

Laboratory Demographics

  • CLIA Code: 14D2327799
  • Facility Name: DAUBER PHARMACY
  • Facility Address: 16 E MAIN ST
    MASCOUTAH, IL
    ZIP 62258
  • Facility Phone: 618 566-8521
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WHITWORTH JESSI
  • NPI Number: 1114970688
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2327799
LAB Type Pharmacy
Facility Name DAUBER PHARMACY
Street 16 E MAIN ST
City MASCOUTAH
State IL
ZIP 62258
Phone 618 566-8521
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2025
Certificate Expiration Date 7/29/2027
Facility Type Pharmacy
Lab Director WHITWORTH JESSI

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