26D2202779 CLIA NUMBER - JOHN'S PHARMACY POPLAR BLUFF

Laboratory Demographics

  • CLIA Code: 26D2202779
  • Facility Name: JOHN'S PHARMACY POPLAR BLUFF
  • Facility Address: 909 W PINE ST
    POPLAR BLUFF, MO
    ZIP 63901
  • Facility Phone: 573 785-0984
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AARON R. VINCENT
  • NPI Number: 1629103643
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 26D2202779
LAB Type Pharmacy
Facility Name JOHN'S PHARMACY POPLAR BLUFF
Street 909 W PINE ST
City POPLAR BLUFF
State MO
ZIP 63901
Phone 573 785-0984
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2024
Certificate Expiration Date 11/30/2026
Facility Type Pharmacy
Lab Director AARON R. VINCENT

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This page was last updated on: 3/20/2025