26D2169685 CLIA NUMBER - ST LOUIS HILLS PHARMACY

Laboratory Demographics

CLIA Number: 26D2169685

Facility Name: ST LOUIS HILLS PHARMACY

Facility Address:
4365 CHIPPEWA STREET, SUITE 100
SAINT LOUIS, MO
ZIP 63116
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Facility Phone Number: 314 832-2480

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1326567157

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	26D2169685
LAB Type	Pharmacy
Facility Name	ST LOUIS HILLS PHARMACY
Street	4365 CHIPPEWA STREET, SUITE 100
City	SAINT LOUIS
State	MO
ZIP	63116
Phone	314 832-2480
CertificateType	4
CertificateEffectiveDate	7/24/2023
CertificateExpirationDate	7/23/2025
FacilityType	Waiver

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