26D2218802 CLIA NUMBER - SUMMERS PHARMACY COMPOUNDING

Laboratory Demographics

CLIA Number: 26D2218802

Facility Name: SUMMERS PHARMACY COMPOUNDING

Facility Address:
2422 S 7 HWY
BLUE SPRINGS, MO
ZIP 64014
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Facility Phone Number: 816 339-9880

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1225622152

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	26D2218802
LAB Type	Pharmacy
Facility Name	SUMMERS PHARMACY COMPOUNDING
Street	2422 S 7 HWY
City	BLUE SPRINGS
State	MO
ZIP	64014
Phone	816 339-9880
CertificateType	4
CertificateEffectiveDate	3/31/2023
CertificateExpirationDate	3/30/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024