26D2080111 CLIA NUMBER - MISSOURI CVS PHARMACY, LLC DBA CVS/PHARMACY #18012

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Laboratory Demographics

CLIA Number: 26D2080111

Facility Name: MISSOURI CVS PHARMACY, LLC DBA CVS/PHARMACY #18012

Facility Address:
5519 OAKVILLE SHOPPING CENTER DR
SAINT LOUIS, MO
ZIP 63129
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Facility Phone Number: 866 389-2727

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1447286794

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	26D2080111
LAB Type	Pharmacy
Facility Name	MISSOURI CVS PHARMACY, LLC DBA CVS/PHARMACY #18012
Street	5519 OAKVILLE SHOPPING CENTER DR
City	SAINT LOUIS
State	MO
ZIP	63129
Phone	866 389-2727
CertificateType	4
CertificateEffectiveDate	6/30/2022
CertificateExpirationDate	6/29/2024
FacilityType	Waiver

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