26D2200176 CLIA NUMBER - MIKE STUART ENTERPRISES, INC

Laboratory Demographics

  • CLIA Code: 26D2200176
  • Facility Name: MIKE STUART ENTERPRISES, INC
  • Facility Address: 104 CORTNEY LANE
    CRANE, MO
    ZIP 65633
  • Facility Phone: 417 723-5227
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELLY A. AUBUSCHON
  • NPI Number: 1194746552
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2200176
LAB Type Pharmacy
Facility Name MIKE STUART ENTERPRISES, INC
Street 104 CORTNEY LANE
City CRANE
State MO
ZIP 65633
Phone 417 723-5227
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2024
Certificate Expiration Date 11/12/2026
Facility Type Pharmacy
Lab Director KELLY A. AUBUSCHON

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