26D1100823 CLIA NUMBER - GERBES PHARMACY #124

Laboratory Demographics

  • CLIA Code: 26D1100823
  • Facility Name: GERBES PHARMACY #124
  • Facility Address: 1729 W BROADWAY
    COLUMBIA, MO
    ZIP 65203
  • Facility Phone: 573 455-9451
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICKE ROBERTS
  • NPI Number: 1194765982
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D1100823
LAB Type Pharmacy
Facility Name GERBES PHARMACY #124
Street 1729 W BROADWAY
City COLUMBIA
State MO
ZIP 65203
Phone 573 455-9451
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2025
Certificate Expiration Date 6/11/2027
Facility Type Pharmacy
Lab Director MICKE ROBERTS

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