26D2170430 CLIA NUMBER - PHILLIPS FAMILY PHARMACY

Laboratory Demographics

  • CLIA Code: 26D2170430
  • Facility Name: PHILLIPS FAMILY PHARMACY
  • Facility Address: 2401 NW PLATTE RD
    RIVERSIDE, MO
    ZIP 64150
  • Facility Phone: 816 569-2125
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSIE D. ROSS
  • NPI Number: 1295075810
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2170430
LAB Type Pharmacy
Facility Name PHILLIPS FAMILY PHARMACY
Street 2401 NW PLATTE RD
City RIVERSIDE
State MO
ZIP 64150
Phone 816 569-2125
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2025
Certificate Expiration Date 8/11/2027
Facility Type Pharmacy
Lab Director JOSIE D. ROSS

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