26D2141897 CLIA NUMBER - PARKLAND HEALTH MART PHARMACY

Laboratory Demographics

  • CLIA Code: 26D2141897
  • Facility Name: PARKLAND HEALTH MART PHARMACY
  • Facility Address: 806 VALLEY CREEK DR
    FARMINGTON, MO
    ZIP 63640
  • Facility Phone: 573 747-1191
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LISA UMFLEET
  • NPI Number: 1750776365
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 26D2141897
LAB Type Pharmacy
Facility Name PARKLAND HEALTH MART PHARMACY
Street 806 VALLEY CREEK DR
City FARMINGTON
State MO
ZIP 63640
Phone 573 747-1191
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2023
Certificate Expiration Date 12/26/2025
Facility Type Pharmacy
Lab Director LISA UMFLEET

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This page was last updated on: 6/4/2025