26D2225322 CLIA NUMBER - MISSOURI CVS PHARMACY, LLC DBA CVS/PHARMACY #8571

Laboratory Demographics

CLIA Number: 26D2225322

Facility Name: MISSOURI CVS PHARMACY, LLC DBA CVS/PHARMACY #8571

Facility Address:
4750 LEES SUMMIT RD
KANSAS CITY, MO
ZIP 64136
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Facility Phone Number: 866 389-2727

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1336183706

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	26D2225322
LAB Type	Pharmacy
Facility Name	MISSOURI CVS PHARMACY, LLC DBA CVS/PHARMACY #8571
Street	4750 LEES SUMMIT RD
City	KANSAS CITY
State	MO
ZIP	64136
Phone	866 389-2727
CertificateType	4
CertificateEffectiveDate	5/20/2023
CertificateExpirationDate	5/19/2025
FacilityType	Waiver

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