26D2209040 CLIA NUMBER - NEW MADRID PHARMACY INC

Laboratory Demographics

  • CLIA Code: 26D2209040
  • Facility Name: NEW MADRID PHARMACY INC
  • Facility Address: 457 MAIN STREET
    NEW MADRID, MO
    ZIP 63869
  • Facility Phone: 573 748-3080
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAMES B. SMALL
  • NPI Number: 1508270802
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2209040
LAB Type Pharmacy
Facility Name NEW MADRID PHARMACY INC
Street 457 MAIN STREET
City NEW MADRID
State MO
ZIP 63869
Phone 573 748-3080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2025
Certificate Expiration Date 1/10/2027
Facility Type Pharmacy
Lab Director JAMES B. SMALL

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