26D1007461 CLIA NUMBER - MITCHELL'S DRUG STORES ON THE BOULEVARD

Laboratory Demographics

  • CLIA Code: 26D1007461
  • Facility Name: MITCHELL'S DRUG STORES ON THE BOULEVARD
  • Facility Address: 719 S NEOSHO BLVD
    NEOSHO, MO
    ZIP 64850
  • Facility Phone: 417 451-9501
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIM G. MITCHELL
  • NPI Number: 1437650835
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D1007461
LAB Type Pharmacy
Facility Name MITCHELL'S DRUG STORES ON THE BOULEVARD
Street 719 S NEOSHO BLVD
City NEOSHO
State MO
ZIP 64850
Phone 417 451-9501
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2024
Certificate Expiration Date 12/17/2026
Facility Type Pharmacy
Lab Director TIM G. MITCHELL

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