26D1041659 CLIA NUMBER - PLEASANT HILL DRUG STORE, INC

Laboratory Demographics

  • CLIA Code: 26D1041659
  • Facility Name: PLEASANT HILL DRUG STORE, INC
  • Facility Address: 1905 N STATE ROUTE 7
    PLEASANT HILL, MO
    ZIP 64080
  • Facility Phone: 816 540-4000
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALAN F. DEFEVER
  • NPI Number: 1518956093
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D1041659
LAB Type Pharmacy
Facility Name PLEASANT HILL DRUG STORE, INC
Street 1905 N STATE ROUTE 7
City PLEASANT HILL
State MO
ZIP 64080
Phone 816 540-4000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2025
Certificate Expiration Date 6/7/2027
Facility Type Pharmacy
Lab Director ALAN F. DEFEVER

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