26D2202789 CLIA NUMBER - KPBN APOTHECARY, LLC

Laboratory Demographics

  • CLIA Code: 26D2202789
  • Facility Name: KPBN APOTHECARY, LLC
  • Facility Address: 5540 N FARMER BRANCH ROAD
    OZARK, MO
    ZIP 65721
  • Facility Phone: 417 485-8555
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NATHAN P. ALDRICH
  • NPI Number: 1285059089
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2202789
LAB Type Pharmacy
Facility Name KPBN APOTHECARY, LLC
Street 5540 N FARMER BRANCH ROAD
City OZARK
State MO
ZIP 65721
Phone 417 485-8555
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 NATHAN P. ALDRICH

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