26D2122440 CLIA NUMBER - MEDICINE SHOPPE PHARMACY CHESTERFIELD

Laboratory Demographics

  • CLIA Code: 26D2122440
  • Facility Name: MEDICINE SHOPPE PHARMACY CHESTERFIELD
  • Facility Address: 106B FOUR SEASONS SHOPPING CENTER
    CHESTERFIELD, MO
    ZIP 63017
  • Facility Phone: 314 469-7171
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALEX Y. VAYMAN
  • NPI Number: 1891027769
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2122440
LAB Type Pharmacy
Facility Name MEDICINE SHOPPE PHARMACY CHESTERFIELD
Street 106B FOUR SEASONS SHOPPING CENTER
City CHESTERFIELD
State MO
ZIP 63017
Phone 314 469-7171
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2024
Certificate Expiration Date 11/28/2026
Facility Type Pharmacy
Lab Director ALEX Y. VAYMAN

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