26D2189018 CLIA NUMBER - MEDICAP PHARMACY

Laboratory Demographics

  • CLIA Code: 26D2189018
  • Facility Name: MEDICAP PHARMACY
  • Facility Address: 2220 MAIN STREET
    SCOTT CITY, MO
    ZIP 63780
  • Facility Phone: 573 264-2450
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ERIC DAUME
  • NPI Number: 1396726246
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2189018
LAB Type Pharmacy
Facility Name MEDICAP PHARMACY
Street 2220 MAIN STREET
City SCOTT CITY
State MO
ZIP 63780
Phone 573 264-2450
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2024
Certificate Expiration Date 7/23/2026
Facility Type Pharmacy
Lab Director ERIC DAUME

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