26D2202468 CLIA NUMBER - JPRX, INC DBA MEDICINE SHOPPE 0832

Laboratory Demographics

  • CLIA Code: 26D2202468
  • Facility Name: JPRX, INC DBA MEDICINE SHOPPE 0832
  • Facility Address: 11330 GRAVOIS RD STE 202
    SAPPINGTON, MO
    ZIP 63126
  • Facility Phone: 314 842-0910
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALEX Y. VAYMAN
  • NPI Number: 1417041823
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2202468
LAB Type Pharmacy
Facility Name JPRX, INC DBA MEDICINE SHOPPE 0832
Street 11330 GRAVOIS RD STE 202
City SAPPINGTON
State MO
ZIP 63126
Phone 314 842-0910
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/27/2024
Certificate Expiration Date 11/26/2026
Facility Type Pharmacy
Lab Director ALEX Y. VAYMAN

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