26D2225274 CLIA NUMBER - MISSOURI CVS PHARMACY, LLC DBA CVS/PHARMACY #05635

Laboratory Demographics

  • CLIA Code: 26D2225274
  • Facility Name: MISSOURI CVS PHARMACY, LLC DBA CVS/PHARMACY #05635
  • Facility Address: 11124 HOLMES RD
    KANSAS CITY, MO
    ZIP 64131
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KRISTIN MARX
  • NPI Number: 1205935517
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2225274
LAB Type Pharmacy
Facility Name MISSOURI CVS PHARMACY, LLC DBA CVS/PHARMACY #05635
Street 11124 HOLMES RD
City KANSAS CITY
State MO
ZIP 64131
Phone 866 389-2727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2025
Certificate Expiration Date 5/19/2027
Facility Type Pharmacy
Lab Director KRISTIN MARX

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This page was last updated on: 6/4/2025