26D2189158 CLIA NUMBER - PRATER'S PHARMACY

Laboratory Demographics

  • CLIA Code: 26D2189158
  • Facility Name: PRATER'S PHARMACY
  • Facility Address: 1412 HIGH ST
    SARCOXIE, MO
    ZIP 64862
  • Facility Phone: 417 548-7184
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KOBY L. PRATER
  • NPI Number: 1083098263
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2189158
LAB Type Pharmacy
Facility Name PRATER'S PHARMACY
Street 1412 HIGH ST
City SARCOXIE
State MO
ZIP 64862
Phone 417 548-7184
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2024
Certificate Expiration Date 7/26/2026
Facility Type Pharmacy
Lab Director KOBY L. PRATER

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