26D2189042 CLIA NUMBER - SIKESTON MEDICENTER PHARMACY

Laboratory Demographics

  • CLIA Code: 26D2189042
  • Facility Name: SIKESTON MEDICENTER PHARMACY
  • Facility Address: 507 N MAIN STREET
    SIKESTON, MO
    ZIP 63801
  • Facility Phone: 573 471-4401
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER BAKER
  • NPI Number: 1316614001
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2189042
LAB Type Pharmacy
Facility Name SIKESTON MEDICENTER PHARMACY
Street 507 N MAIN STREET
City SIKESTON
State MO
ZIP 63801
Phone 573 471-4401
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 JENNIFER BAKER

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