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26D2226057 CLIA NUMBER - MISSOURI CVS PHARMACY, LLC DBA CVS/PHARMACY #11312

Laboratory Demographics

CLIA Number: 26D2226057

Facility Name: MISSOURI CVS PHARMACY, LLC DBA CVS/PHARMACY #11312

Facility Address:
1030 MAIN ST
LEXINGTON, MO
ZIP 64067
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Facility Phone Number: 866 389-2727

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1689724247

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 26D2226057
LAB Type Pharmacy
Facility Name MISSOURI CVS PHARMACY, LLC DBA CVS/PHARMACY #11312
Street 1030 MAIN ST
City LEXINGTON
State MO
ZIP 64067
Phone 866 389-2727
CertificateType 4
CertificateEffectiveDate 5/26/2023
CertificateExpirationDate 5/25/2025
FacilityType Waiver

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