26D2184398 CLIA NUMBER - EVANS DRUG LOCKWOOD

Laboratory Demographics

  • CLIA Code: 26D2184398
  • Facility Name: EVANS DRUG LOCKWOOD
  • Facility Address: 725 MAIN ST
    LOCKWOOD, MO
    ZIP 65682
  • Facility Phone: 417 232-4721
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KEVIN A. MCCULLOUGH
  • NPI Number: 1285650135
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2184398
LAB Type Pharmacy
Facility Name EVANS DRUG LOCKWOOD
Street 725 MAIN ST
City LOCKWOOD
State MO
ZIP 65682
Phone 417 232-4721
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2024
Certificate Expiration Date 5/18/2026
Facility Type Pharmacy
Lab Director KEVIN A. MCCULLOUGH

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