26D0871807 CLIA NUMBER - MISSOURI EASTERN CORRECTIONAL CENTER

Laboratory Demographics

  • CLIA Code: 26D0871807
  • Facility Name: MISSOURI EASTERN CORRECTIONAL CENTER
  • Facility Address: 18701 HIGHWAY 66
    PACIFIC, MO
    ZIP 63069
  • Facility Phone: 636 257-3322
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: MATTHEW TAYLOR
  • NPI Number: 1619371077
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D0871807
LAB Type Prison
Facility Name MISSOURI EASTERN CORRECTIONAL CENTER
Street 18701 HIGHWAY 66
City PACIFIC
State MO
ZIP 63069
Phone 636 257-3322
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2024
Certificate Expiration Date 3/12/2026
Facility Type Prison
Lab Director MATTHEW TAYLOR

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