26D2183862 CLIA NUMBER - PHARMAX BT INC DBA PHARMAX PHARMACY #1365

Laboratory Demographics

  • CLIA Code: 26D2183862
  • Facility Name: PHARMAX BT INC DBA PHARMAX PHARMACY #1365
  • Facility Address: 60A NESBIT DRIVE
    BONNE TERRE, MO
    ZIP 63628
  • Facility Phone: 573 358-3301
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LARRY MCINTOSH
  • NPI Number: 1558473157
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2183862
LAB Type Pharmacy
Facility Name PHARMAX BT INC DBA PHARMAX PHARMACY #1365
Street 60A NESBIT DRIVE
City BONNE TERRE
State MO
ZIP 63628
Phone 573 358-3301
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2024
Certificate Expiration Date 5/11/2026
Facility Type Pharmacy
Lab Director LARRY MCINTOSH

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