26D2078722 CLIA NUMBER - ELDON DRUG COMPANY

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Laboratory Demographics

CLIA Number: 26D2078722

Facility Name: ELDON DRUG COMPANY

Facility Address:
101 S MAPLE ST
ELDON, MO
ZIP 65026
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Facility Phone Number: 573 392-4588

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1194725804

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	26D2078722
LAB Type	Pharmacy
Facility Name	ELDON DRUG COMPANY
Street	101 S MAPLE ST
City	ELDON
State	MO
ZIP	65026
Phone	573 392-4588
CertificateType	4
CertificateEffectiveDate	6/3/2022
CertificateExpirationDate	6/2/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024