26D2205813 CLIA NUMBER - AUBURN PHARMACY #245

Laboratory Demographics

  • CLIA Code: 26D2205813
  • Facility Name: AUBURN PHARMACY #245
  • Facility Address: 105 SOUTH OAK
    NEVADA, MO
    ZIP 64772
  • Facility Phone: 417 667-7802
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHELSEA R. DOHERTY
  • NPI Number: 1639276249
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2205813
LAB Type Pharmacy
Facility Name AUBURN PHARMACY #245
Street 105 SOUTH OAK
City NEVADA
State MO
ZIP 64772
Phone 417 667-7802
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 CHELSEA R. DOHERTY

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