26D2225311 CLIA NUMBER - MISSOURI CVS/PHARMACY, LLC DBA CVS/PHARMACY #08579

Laboratory Demographics

  • CLIA Code: 26D2225311
  • Facility Name: MISSOURI CVS/PHARMACY, LLC DBA CVS/PHARMACY #08579
  • Facility Address: 751 NE WOODS CHAPEL ROAD
    LEES SUMMIT, MO
    ZIP 64064
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSEPH BATES
  • NPI Number: 1629019526
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 26D2225311
LAB Type Pharmacy
Facility Name MISSOURI CVS/PHARMACY, LLC DBA CVS/PHARMACY #08579
Street 751 NE WOODS CHAPEL ROAD
City LEES SUMMIT
State MO
ZIP 64064
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 JOSEPH BATES

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