26D2171044 CLIA NUMBER - ADVANCE PHARMACY

Laboratory Demographics

  • CLIA Code: 26D2171044
  • Facility Name: ADVANCE PHARMACY
  • Facility Address: 110 S OAK
    ADVANCE, MO
    ZIP 63730
  • Facility Phone: 573 722-3562
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SARAH A. DOVIN
  • NPI Number: 1033150891
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2171044
LAB Type Pharmacy
Facility Name ADVANCE PHARMACY
Street 110 S OAK
City ADVANCE
State MO
ZIP 63730
Phone 573 722-3562
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/26/2025
Certificate Expiration Date 8/25/2027
Facility Type Pharmacy
Lab Director SARAH A. DOVIN

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