26D2205825 CLIA NUMBER - AUBURN PHARMACY #255

Laboratory Demographics

  • CLIA Code: 26D2205825
  • Facility Name: AUBURN PHARMACY #255
  • Facility Address: 54B SE 1ST LANE
    LAMAR, MO
    ZIP 64759
  • Facility Phone: 417 682-5838
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHELSEA R. DOHERTY
  • NPI Number: 1457458069
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2205825
LAB Type Pharmacy
Facility Name AUBURN PHARMACY #255
Street 54B SE 1ST LANE
City LAMAR
State MO
ZIP 64759
Phone 417 682-5838
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