26D2205811 CLIA NUMBER - AUBURN PHARMACY #250

Laboratory Demographics

  • CLIA Code: 26D2205811
  • Facility Name: AUBURN PHARMACY #250
  • Facility Address: 301 N 14TH ST
    RICH HILL, MO
    ZIP 64779
  • Facility Phone: 417 395-4700
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELLY DRAHOTA
  • NPI Number: 1548367154
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2205811
LAB Type Pharmacy
Facility Name AUBURN PHARMACY #250
Street 301 N 14TH ST
City RICH HILL
State MO
ZIP 64779
Phone 417 395-4700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2024
Certificate Expiration Date 12/15/2026
Facility Type Pharmacy
Lab Director KELLY DRAHOTA

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