26D2195768 CLIA NUMBER - ALPS LONG TERM CARE PHARMACY

Laboratory Demographics

  • CLIA Code: 26D2195768
  • Facility Name: ALPS LONG TERM CARE PHARMACY
  • Facility Address: 1824 N HIGHWAY CC, SUITE A
    NIXA, MO
    ZIP 65714
  • Facility Phone: 417 893-3902
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIEL E. GREENE
  • NPI Number: 1639690365
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2195768
LAB Type Pharmacy
Facility Name ALPS LONG TERM CARE PHARMACY
Street 1824 N HIGHWAY CC, SUITE A
City NIXA
State MO
ZIP 65714
Phone 417 893-3902
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2024
Certificate Expiration Date 10/12/2026
Facility Type Pharmacy
Lab Director DANIEL E. GREENE

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This page was last updated on: 6/4/2025