26D2198429 CLIA NUMBER - SUMMERS PHARMACY OF KEARNEY

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Laboratory Demographics

CLIA Number: 26D2198429

Facility Name: SUMMERS PHARMACY OF KEARNEY

Facility Address:
101 W HWY 95, SUITE A
KEARNEY, MO
ZIP 64060
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Facility Phone Number: 816 635-7005

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1255930772

Taxonomy: 3336L0003X - Pharmacy
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

CLIA Record

Field Name	Field Value
CLIA Number	26D2198429
LAB Type	Pharmacy
Facility Name	SUMMERS PHARMACY OF KEARNEY
Street	101 W HWY 95, SUITE A
City	KEARNEY
State	MO
ZIP	64060
Phone	816 635-7005
CertificateType	4
CertificateEffectiveDate	11/2/2022
CertificateExpirationDate	11/1/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024