26D2149169 CLIA NUMBER - PRICE CHOPPER PHARMACY #21

Laboratory Demographics

  • CLIA Code: 26D2149169
  • Facility Name: PRICE CHOPPER PHARMACY #21
  • Facility Address: 500 NE BARRY ROAD
    KANSAS CITY, MO
    ZIP 64155
  • Facility Phone: 816 468-7688
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL T. HALLIWELL
  • NPI Number: 1447365549
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2149169
LAB Type Pharmacy
Facility Name PRICE CHOPPER PHARMACY #21
Street 500 NE BARRY ROAD
City KANSAS CITY
State MO
ZIP 64155
Phone 816 468-7688
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2024
Certificate Expiration Date 5/24/2026
Facility Type Pharmacy
Lab Director MICHAEL T. HALLIWELL

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