26D1060363 CLIA NUMBER - HOMETOWN PHARMACY

Laboratory Demographics

  • CLIA Code: 26D1060363
  • Facility Name: HOMETOWN PHARMACY
  • Facility Address: 1409 N JEFFERSON
    CARROLLTON, MO
    ZIP 64633
  • Facility Phone: 660 542-2020
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMY MITCHELL
  • NPI Number: 1396198818
  • Taxonomy: 3336L0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D1060363
LAB Type Pharmacy
Facility Name HOMETOWN PHARMACY
Street 1409 N JEFFERSON
City CARROLLTON
State MO
ZIP 64633
Phone 660 542-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2024
Certificate Expiration Date 10/22/2026
Facility Type Pharmacy
Lab Director AMY MITCHELL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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