26D2182907 CLIA NUMBER - GARDNER PHARMACY SERVICES, INC

Laboratory Demographics

  • CLIA Code: 26D2182907
  • Facility Name: GARDNER PHARMACY SERVICES, INC
  • Facility Address: 712 SOUTH MAIN ST
    BROOKFIELD, MO
    ZIP 64628
  • Facility Phone: 660 258-2122
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID N. GARDNER
  • NPI Number: 1720665920
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2182907
LAB Type Pharmacy
Facility Name GARDNER PHARMACY SERVICES, INC
Street 712 SOUTH MAIN ST
City BROOKFIELD
State MO
ZIP 64628
Phone 660 258-2122
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 DAVID N. GARDNER

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