26D2182898 CLIA NUMBER - PLAZA PHARMACY

Laboratory Demographics

  • CLIA Code: 26D2182898
  • Facility Name: PLAZA PHARMACY
  • Facility Address: 24875 STATE HIGHWAY 39
    SHELL KNOB, MO
    ZIP 65747
  • Facility Phone: 417 858-2200
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HOANG LE
  • NPI Number: 1518980986
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D2182898
LAB Type Pharmacy
Facility Name PLAZA PHARMACY
Street 24875 STATE HIGHWAY 39
City SHELL KNOB
State MO
ZIP 65747
Phone 417 858-2200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2024
Certificate Expiration Date 4/26/2026
Facility Type Pharmacy
Lab Director HOANG LE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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