26D2069197 CLIA NUMBER - PARKLAND HEALTH MART PHARMACY

Laboratory Demographics

  • CLIA Code: 26D2069197
  • Facility Name: PARKLAND HEALTH MART PHARMACY
  • Facility Address: 1025 HWY 72 BYPASS
    FREDERICKTOWN, MO
    ZIP 63645
  • Facility Phone: 573 783-6000
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LISA UMFLEET
  • NPI Number: 1669814182
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2069197
LAB Type Pharmacy
Facility Name PARKLAND HEALTH MART PHARMACY
Street 1025 HWY 72 BYPASS
City FREDERICKTOWN
State MO
ZIP 63645
Phone 573 783-6000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2023
Certificate Expiration Date 11/18/2025
Facility Type Pharmacy
Lab Director LISA UMFLEET

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