26D2085965 CLIA NUMBER - MISSOURI CVS PHARMACY, LLC DBA CVS/PHARMACY #18090

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Laboratory Demographics

CLIA Number: 26D2085965

Facility Name: MISSOURI CVS PHARMACY, LLC DBA CVS/PHARMACY #18090

Facility Address:
1181 GANNON PLAZA
FESTUS, MO
ZIP 63028
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Facility Phone Number: 866 389-2727

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1407076557

Taxonomy: 1223G0001X - Dentist
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

CLIA Record

Field Name	Field Value
CLIA Number	26D2085965
LAB Type	Pharmacy
Facility Name	MISSOURI CVS PHARMACY, LLC DBA CVS/PHARMACY #18090
Street	1181 GANNON PLAZA
City	FESTUS
State	MO
ZIP	63028
Phone	866 389-2727
CertificateType	4
CertificateEffectiveDate	10/27/2022
CertificateExpirationDate	10/26/2024
FacilityType	Waiver

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