26D0955722 CLIA NUMBER - TOMLYN, INC DBA MEDICINE SHOPPE 0128

Laboratory Demographics

  • CLIA Code: 26D0955722
  • Facility Name: TOMLYN, INC DBA MEDICINE SHOPPE 0128
  • Facility Address: 7922 MACKENZIE RD
    AFFTON, MO
    ZIP 63123
  • Facility Phone: 314 638-3535
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMIE WANG
  • NPI Number: 1821181355
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D0955722
LAB Type Pharmacy
Facility Name TOMLYN, INC DBA MEDICINE SHOPPE 0128
Street 7922 MACKENZIE RD
City AFFTON
State MO
ZIP 63123
Phone 314 638-3535
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2025
Certificate Expiration Date 1/6/2027
Facility Type Pharmacy
Lab Director JAMIE WANG

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